title: Medical and Surgical Management of a Descending Aorta Penetrating Atherosclerotic Ulcer and Associated Ascending Intramural Hematoma.
abstract: A 69-year-old man presented with chest pain and a computed tomography scan demonstrated an acute penetrating atherosclerotic ulcer (PAU) of the proximal descending aorta with an associated intramural hematoma (IMH) extending retrograde to the aortic root and distally to the renal arteries. He successfully underwent endovascular repair of the PAU and medical management of the associated ascending intramural hematoma with complete resolution at 6 months.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri;
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Henn
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri;
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Lawrance
authors.affiliation: Division of Cardiology, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri; and.
authors.forename: Alan C
authors.initials: AC
authors.lastname: Braverman
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri.
authors.forename: Luis
authors.initials: L
authors.lastname: Sanchez
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri;
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Lawton
keywords: Ascending intramural hematoma; Penetrating aortic ulcer; TEVAR