Penetrating Aortic Ulcer in an Elderly Female: An Important Consideration in Chest Pain Presentations
| Autor: | Nicholas Snels |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Aortic arch
Aortic dissection medicine.medical_specialty medicine.diagnostic_test business.industry Physical examination General Medicine Chest pain medicine.disease Surgery medicine.artery Ascending aorta cardiovascular system medicine Family history medicine.symptom Thrombus business Aortic rupture |
| Zdroj: | Archives of Clinical and Medical Case Reports. |
| ISSN: | 2575-9655 |
| DOI: | 10.26502/acmcr.96550121 |
| Popis: | Introduction: Chest pain is one of the most common presenting complaints to emergency departments. Recent advances in imaging have allowed greater definition of acute aortic syndromes, a collection of diseases, including aortic dissections in addition to rarer aortic ulceration and intramural thrombus. Herein I present a case of a lady with chest pain caused by a penetrating aortic ulcer. Case Report: A 74 year old female presented with central chest pain of four days duration on a background significant for hypertension, smoking and a family history of vasculopathy. Physical examination followed by radiological investigations revealed a penetrating aortic ulcer in the ascending aorta. The patient was referred to the vascular team who managed her conservatively with antihypertensives. Conclusion: These are many causes for acute onset chest pain. Aortic arch ulceration is a rare cause, however remains for consideration in working these patients up given the possibility to lead to aortic rupture. |
| Databáze: | OpenAIRE |
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