title: Endovascular treatment of painless aortic ulcer detected by transesophageal echocardiography as an incidental finding.
abstract: 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.
authors.affiliation: U.O. UTIC-Cardiologia, San Luca Hospital, Vallo della Lucania, Salerna, Italy. rodolfocitro@tele2.it
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Citro
authors.forename: Eduardo
authors.initials: E
authors.lastname: Bossone
authors.forename: Marco Mariano
authors.initials: MM
authors.lastname: Patella
authors.forename: Gennaro
authors.initials: G
authors.lastname: Provenza
authors.forename: Francesco
authors.initials: F
authors.lastname: Luongo
authors.forename: Luigi
authors.initials: L
authors.lastname: Galasso
authors.forename: Eugenio
authors.initials: E
authors.lastname: Meucci
authors.forename: Giovanni
authors.initials: G
authors.lastname: Gregorio
authors.forename: Arturo Evangelista
authors.initials: AE
authors.lastname: Masip
mesh_terms: 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*
chemical_list: D000900:Anti-Bacterial Agents