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.
Department of Cardiology, Ankara Ataturk Education and Research Hospital, Ankara, Turkey.
Mehmet
M
Bilge
Mustafa
M
Kurt
Emine Bilen
EB
Senkaya
Ayse Saatci
AS
Yasar
Fatih
F
Karakas
Ali
A
Erayman
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