Penetrating aortic ulcer: Clinical and angiographic characteristics
| Autor: | Sala J, Angel Cequier, Josepa Mauri, Juana E. Barthe, Francisco Jara, Enrique Esplugas |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Aortic dissection
medicine.medical_specialty business.industry Hemodynamics Dissection (medical) Internal elastic lamina medicine.disease Surgery Hematoma Internal medicine medicine.artery Ascending aorta cardiovascular system Cardiology Medicine Cardiology and Cardiovascular Medicine business Aortic valve regurgitation Angiology |
| Zdroj: | International Journal of Angiology. 4:143-146 |
| ISSN: | 1615-5939 1061-1711 |
| DOI: | 10.1007/bf02043008 |
| Popis: | “Penetrating aortic ulcer,” an atherosclerotic lesion with ulceration that penetrates the internal elastic lamina and allows hematoma formation within the aortic wall, is rarely considered in the differential diagnosis of patients with sudden onset of severe chest or back pain. It has been suggested that it is a pathologic process that involves elderly hypertensive patients with severe atherosclerosis and rarely has been observed in the ascending aorta. To determine the characteristics of this process, 11 clinical, 2 hemodynamic, 3 angiographic, and 4 surgical variables were compared between 10 consecutive patients with penetrating aortic ulcers and 20 matched patients with classic acute aortic dissection. Clinical and hemodynamic variables were similar in the two compared groups. In the group of patients with penetrating ulcer, mean age was 58±6 years, previous hypertension was observed in six patients and the penetrating ulcer was located in the ascending aorta in six cases. Compared with patients with aortic dissection, more angiographic projections were necessary to obtain the diagnosis in the group of patients with penetrating ulcer (2.4±0.8 vs 1.7±0.6;p |
| Databáze: | OpenAIRE |
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