title: Enlightenment from a small but rapidly evolving penetrating aortic ulcer.
abstract: Penetrating aortic ulcer (PAU) is a pathologic type of acute aortic syndrome and usually locates in the descending aorta. The presentation, behavior and natural history of this disease process have not been clear. Here we report a case in which a rapidly evolving PAU in descending aorta needed aggressive percutaneous interventional treatment. The present case with its unique scenario might draw clinicians' attention on a "beyond the guidelines" issue.
authors.affiliation: Department of Cardiology, The Fifth Affiliated Hospital of Sun Yat-Sen University, No. 52 Meihua East Road, Zhuhai, 519000, People's Republic of China.
authors.forename: Guangyi
authors.initials: G
authors.lastname: Tan
authors.affiliation: Department of Cardiology, The Fifth Affiliated Hospital of Sun Yat-Sen University, No. 52 Meihua East Road, Zhuhai, 519000, People's Republic of China.
authors.forename: Wenyi
authors.initials: W
authors.lastname: Tang
authors.affiliation: Department of Cardiology, The Fifth Affiliated Hospital of Sun Yat-Sen University, No. 52 Meihua East Road, Zhuhai, 519000, People's Republic of China. chenjn@mail.sysu.edu.cn.
authors.forename: Jian
authors.initials: J
authors.lastname: Chen
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D018450:Disease Progression; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome; D014456:Ulcer / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: CTA; Penetrating aortic ulcer; TEVAR