Penetrating atherosclerotic aortic ulcer mimicking acute inferior myocardial infarction.
Penetrating atherosclerotic ulcers (PAU), aortic dissection, and intramural hematoma are the three most important diseases involving the aorta which are classified as acute aortic syndromes. Penetrating atherosclerotic aortic ulceration is characterized by ulceration of atheromatous plaque disrupting the internal elastic lamina. These aortic ulcers may penetrate through the media to cause aortic pseudoaneurysms or less often through the adventitia to cause transmural aortic rupture. We described a case of penetrating atherosclerotic ulcer of ascending aorta mimicking ST elevation myocardial infarction. To our knowledge, this is the first case reported in the literature of such a complication from PAU.
Bilge
Mehmet
M
Department of Cardiology, Ankara Ataturk Education and Research Hospital, Ankara, Turkey.
Kurt
Mustafa
M
Senkaya
Emine Bilen
EB
Yasar
Ayse Saatci
AS
Karakas
Fatih
F
Erayman
Ali
A
D000369:Aged, 80 and over; D001011:Aorta / Q000000981:diagnostic imaging*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging*; D050197:Atherosclerosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging; D014463:Ultrasonography