Endovascular treatment of painless aortic ulcer detected by transesophageal echocardiography as an incidental finding.
Penetrating aortic ulcer (PAU) is defined as an ulcerating atherosclerotic lesion that disrupts the aortic wall layers, penetrating the internal elastic lamina. The natural history of the disease and the preferred treatment are still debated. We report a case of painless PAU in a 78-year-old man detected by transesophageal echocardiography at the level of proximal descending aorta as an incidental finding. The patient underwent endovascular stent-graft placement without any complications at early and late follow-up.
Citro
Rodolfo
R
U.O. UTIC-Cardiologia, San Luca Hospital, Vallo della Lucania, Salerna, Italy. rodolfocitro@tele2.it
Bossone
Eduardo
E
Patella
Marco Mariano
MM
Provenza
Gennaro
G
Luongo
Francesco
F
Galasso
Luigi
L
Meucci
Eugenio
E
Gregorio
Giovanni
G
Masip
Arturo Evangelista
AE
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D006801:Humans; D033162:Incidental Findings; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014456:Ulcer / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*
D000900:Anti-Bacterial Agents