Penetrating Atherosclerotic Aortic Ulcer Mimicking Acute Inferior Myocardial Infarction

Penetrating atherosclerotic ulcers (PAU), aortic dissection, and intramural hematoma are the three most important diseases involving the aorta which are classified as acute aortic syndromes. Penetrating atherosclerotic aortic ulceration is characterized by ulceration of atheromatous plaque disruptin...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2009-10, Vol.26 (9), p.1084-1086
Main Authors: Bilge, Mehmet, Kurt, Mustafa, Senkaya, Emine Bilen, Yasar, Ayse Saatci, Karakas, Fatih, Erayman, Ali
Format: Article
Language:English
Subjects:
Aged, 80 and over
aorta
Aorta - diagnostic imaging
Aortic Valve Stenosis - diagnostic imaging
Atherosclerosis - diagnostic imaging
Diagnosis, Differential
Humans
Male
Myocardial Infarction - diagnostic imaging
TEE
Ultrasonography
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Summary:Penetrating atherosclerotic ulcers (PAU), aortic dissection, and intramural hematoma are the three most important diseases involving the aorta which are classified as acute aortic syndromes. Penetrating atherosclerotic aortic ulceration is characterized by ulceration of atheromatous plaque disrupting the internal elastic lamina. These aortic ulcers may penetrate through the media to cause aortic pseudoaneurysms or less often through the adventitia to cause transmural aortic rupture. We described a case of penetrating atherosclerotic ulcer of ascending aorta mimicking ST elevation myocardial infarction. To our knowledge, this is the first case reported in the literature of such a complication from PAU.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2009.00959.x