title: Unusual presenting of acute aortic dissection due to penetrating atheromatous ulcer.
abstract: Penetrating atheromatous ulcer (PAU) is an atherosclerotic ulcer penetrating the internal elastic lamina of the aortic wall causing a hematoma within the media layer of aorta. They are commonly located in the descending aorta of the elderly and hypertensive patients. They may rarely be complicated by aortic dissection. We report a relative young normotensive patient presenting with acute aortic dissection due to PAU located in the ascending aorta.
authors.affiliation: Department of Cardiology, Marmara University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Halil
authors.initials: H
authors.lastname: Atas
authors.affiliation: Department of Cardiology, Marmara University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Erdal
authors.initials: E
authors.lastname: Durmus
authors.affiliation: Department of Cardiology, Marmara University Faculty of Medicine, Istanbul, Turkey. Electronic address: drsunbul@yahoo.com.tr.
authors.forename: Murat
authors.initials: M
authors.lastname: Sunbul
authors.affiliation: Department of Cardiovascular Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Yasar
authors.initials: Y
authors.lastname: Birkan
authors.affiliation: Department of Cardiology, Marmara University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Beste
authors.initials: B
authors.lastname: Ozben
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D058226:Plaque, Atherosclerotic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014456:Ulcer / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery