Penetrating atherosclerotic ulcer of the thoracic aorta: endovascular treatment, hybrid or surgery. A review

The aortic aneurysm is part of the acute aortic syndromes (AAS). Aortic aneurysms have a weakened tunica media. Acute aneurysm expansion may herald rupture with high morbility and mortality. Five percent of AAS are diagnosed as pentetrating atherosclerotic ulcer which is an ulceration of an atherosc...

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Bibliographic Details
Published in:Archivos de cardiología de México 2009-04, Vol.79 (2), p.140-146
Main Authors: Herrera-Gomar, Magali, Alcántara-Meléndez, Marco Antonio, Lomelí-Estrada, Catalina, Mendoza-González, Celso, Aguirre-Molina, Carlos Alberto, Lorenzo-Negrete, José Antonio, Kimura-Hayama, Eric, Rosas-Peralta, Martín, Attie-Cury, Fause
Format: Article
Language:Spanish
Subjects:
Aorta, Thoracic
Aortic Aneurysm, Thoracic - etiology
Aortic Aneurysm, Thoracic - surgery
Aortic Diseases - complications
Aortic Diseases - surgery
Atherosclerosis - complications
Atherosclerosis - surgery
Humans
Male
Middle Aged
Ulcer - complications
Ulcer - surgery
Vascular Surgical Procedures - methods
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Summary:The aortic aneurysm is part of the acute aortic syndromes (AAS). Aortic aneurysms have a weakened tunica media. Acute aneurysm expansion may herald rupture with high morbility and mortality. Five percent of AAS are diagnosed as pentetrating atherosclerotic ulcer which is an ulceration of an atherosclerotic lesion of the aorta that penetrates the internal elastic lamina and allows hematoma formation within the tunica media of the aortic wall. Endovascular treatment is an alternative to surgery and has provided an adequate rate of successful repair. There is another type of treatment which combines surgery and endovascular repair (the hybrid open-endovascular repair) which provides adequate results. The afford mention case is about a patient with a penetrating atherosclerotic ulcer. The hematoma that results from this ulcer extends and self-contains the aneurysm, with a high risk of rupture. We will also describe the aneurysm treatment options.
ISSN:1405-9940