title: Crater-Like Ulceration of Aortic Arch.
abstract: We report the case of a 78-year-old female who presented to our hospital with signs of hemorrhagic shock and breathlessness. A transthoracic echocardiography demonstrated pericardial effusion. Computed tomography of the chest showed a penetrating atherosclerotic ulcer of the aortic arch with an intramural hematoma of the ascending and descending aorta. Endovascular repair with stent-grafting was urgently performed and a pericardial window placement was done to reduce mediastinal bleeding.
authors.affiliation: Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy;
authors.forename: Caterina
authors.initials: C
authors.lastname: Simon
authors.affiliation: Division of Cardiology, Papa Giovanni XXIII Hospital, Bergamo, Italy; and.
authors.forename: Alice
authors.initials: A
authors.lastname: Calabrese
authors.affiliation: Division of Vascular Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Canu
authors.affiliation: Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy;
authors.forename: Maurizio
authors.initials: M
authors.lastname: Merlo
authors.affiliation: Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy;
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Galletti
keywords: Aorta; Computed tomography scan; Endovascular cardiography