Penetrating Atherosclerotic Ulcers of the Abdominal Aorta: A Case Report and Review of the Literature

Thomas Kotsis; Basileios Georgiou Spyropoulos; Nikolaos Asaloumidis; Panagitsa Christoforou; Konstantina Katseni; Ioannis Papaconstantinou

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저자정보: Thomas Kotsis (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens) Basileios Georgiou Spyropoulos (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens) Nikolaos Asaloumidis (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens) Panagitsa Christoforou (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens) Konstantina Katseni (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens) Ioannis Papaconstantinou (Aretaieion University Hospital Medical School National and Kapodistrian University of Athens Athens)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.35 No.3

발행연도: 2019.1

수록면: 152 - 159 (8page)

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Penetrating atherosclerotic ulcers (PAUs) of the aorta are defined as atherosclerotic lesions with aortic intima and media ulceration, which may lead to a complete rupture of the adventitial wall. The present article aimed to report an unusual case of a surgically treated patient with abdominal aorta PAU with an illustration of the key features and to review and analyze the existing literature data. PAUs typically develop in elderly and hypertensive patients and in patients with advanced atherosclerosis. Although originally described for the descending thoracic aorta, a similar clinicopathological entity also occurs in the abdominal aorta. Patients with symptoms of a PAU should be treated immediately if they are fit for surgery. Exceptive observation by imaging modalities is necessary in patients with asymptomatic small (<2 cm) PAU, with or without focal dissection.

#Penetrating atherosclerotic ulcer #Abdominal aorta #Acute aortic syndrome

참고문헌 (61)

참고문헌 신청

Shennan T. / 1934 / Dissecting aneurysms / His Majesty’s Stationery Office

Stanson AW / 1986 / Penetrating atherosclerotic ulcers of the thoracic aorta : natural history and clinicopathologic correlations / Ann Vasc Surg 1:15~23

Tumelero RT / 2011 / Endovascular stent-graft treatment of penetrating aortic ulcer / Arq Bras Cardiol 96:e20~e20

Coady MA / 1998 / Penetrating ulcer of the thoracic aorta:what is it? How do we recognize it? How do we manage it? / J Vasc Surg 27:1006~1015

Poullis MP / 2008 / Ascending aortic curvature as an independent risk factor for type A dissection, and ascending aortic aneurysm formation: a mathematical model / Eur J Cardiothorac Surg 33:995~1001

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이 논문의 저자 정보

Thomas Kotsis

소속기관 Division of Vascular, 2nd Clinic of Surgery, Aretaieion Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece