title: Hybrid treatment of penetrating aortic ulcer.
abstract: Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome. In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer. The present report emphasizes the role played by computed tomography in the diagnosis of penetrating atherosclerotic ulcer as well as in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.
authors.affiliation: MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
authors.forename: Juan Antonio Herrero
authors.initials: JA
authors.lastname: Lara
authors.affiliation: MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
authors.forename: Daniela de Araújo
authors.initials: Dde A
authors.lastname: Martins-Romêo
authors.affiliation: MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
authors.forename: Carlos Caparrós
authors.initials: CC
authors.lastname: Escudero
authors.affiliation: MD, Radiologist at Unit of Radiodiagnosis - Hospital Nuestra Señora de la Merced, Osuna, Sevilha, Spain.
authors.forename: Rosa María Lepe
authors.initials: RM
authors.lastname: Vázquez
authors.affiliation: MDs, Residents, Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
authors.forename: María Del Carmen Prieto
authors.initials: Mdel C
authors.lastname: Falcón
authors.affiliation: MDs, Residents, Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
authors.forename: Vinicius Bianchi
authors.initials: VB
authors.lastname: Batista
keywords: Aortic diseases; Atherosclerosis; Cardiovascular surgery; Computed tomography; Thoracic aorta