title: Acute aortic syndrome--penetrating atherosclerotic ulcer with contained rupture managed by endovascular stent-grafting.
abstract: We present the case of a hypertensive male who came with acute onset of severe backache and hypotension. Emergency imaging revealed a penetrating atherosclerotic ulcer of descending thoracic aorta with contained rupture and bilateral hemothorax. Initially stabilised with medical management, this patient went on to undergo endovascular stent-grafting. The sequence of clinical events of this uncommon entity and the relatively novel interventional modality are reviewed.
authors.affiliation: Dept of Medicine, LTM Medical College and General Hospital, Sion, Mumbai 400 022.
authors.forename: Girish R
authors.initials: GR
authors.lastname: Sabnis
authors.forename: Trupti H
authors.initials: TH
authors.lastname: Trivedi
authors.forename: Sandhya A
authors.initials: SA
authors.lastname: Kamath
authors.forename: Nivedita D
authors.initials: ND
authors.lastname: Moulick
authors.forename: Hemant
authors.initials: H
authors.lastname: Deshmukh
authors.forename: Krantikumar
authors.initials: K
authors.lastname: Rathod
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013577:Syndrome; D016896:Treatment Outcome; D014456:Ulcer / Q000601:surgery*