Different clinical pictures of penetrating ulcer of the aorta, an underrated aortic disease

Journal of Cardiovascular Medicine
Amedeo AnselmiVasileios Tsiopoulos

Abstract

Penetrating ulcer of the aorta has been recognized as a distinct aortic disorder, defined by the ulceration of an atherosclerotic plaque. The lesion has the potential to evolve acutely into aortic rupture, but chronic pictures are possible. Late evolution into rupture, frank aortic dissection and progressive aortic enlargement have been documented. We discuss different modalities of presentation on the basis of recent clinical cases. As the optimal treatment, either surgical (open or endovascular) or medical, is based on a correct diagnosis, we highlight the importance of including aortic ulcers in the differential diagnosis of chest pain. Although endovascular treatment can be advisable in cases with favorable anatomic condition and in patients with multiple comorbidities, the open surgical option should be available given the heterogeneous location and clinical scenarios of these lesions.

References

Jul 4, 1998·Journal of Vascular Surgery·M A CoadyJ A Elefteriades
Jul 21, 1998·Journal of the American College of Cardiology·I VilacostaJ M Oyonarte
Jun 14, 2002·The Journal of Thoracic and Cardiovascular Surgery·Shawn L TittleJohn A Elefteriades
Apr 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Kwang Ree ChoThoralf M Sundt
Nov 8, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Holger EggebrechtRaimund Erbel

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Citations

Aug 13, 2013·Journal of Vascular and Interventional Radiology : JVIR·George S GeorgiadisMiltos K Lazarides
Mar 25, 2011·Journal of Cardiovascular Medicine·Antonio GrimaldiOttavio Alfieri
Jun 17, 2015·Neural Computation·Chien-Chih WangChih-Jen Lin

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