Repair of a penetrating ascending aortic ulcer with localized resection and extracellular matrix patch aortoplasty.
Penetrating ascending aortic ulcers are rarely encountered, yet they present significant risk of hemorrhage and aortic dissection. Expedient recognition and repair is of vital importance. The current management of penetrating ulcer of the ascending aorta includes replacement of the ascending aorta with a prosthetic graft. We describe our technique of repairing a penetrating ulcer of the ascending aorta with localized ulcer resection and extracellular matrix patch aortoplasty.
Department of Thoracic and Cardiovascular Surgery, Spectrum Health, Fred and Lena Meijer Heart & Vascular Institute, Grand Rapids, Michigan 49503, USA.
Craig R
CR
Smith
Sotiris C
SC
Stamou
Theodore J
TJ
Boeve
Robert C
RC
Hooker
D001011:Aorta / Q000473:pathology / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D020127:Recovery of Function; D018570:Risk Assessment; D012501:Saphenous Vein / Q000637:transplantation*; D012720:Severity of Illness Index; D056346:Sternotomy / Q000379:methods; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome; D014456:Ulcer / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*