Penetrating atherosclerosis aortic ulcer: a re-appraisal
| Autor: | Hendrik Van Damme, Evelyne Boesmans, Imane El Hassani, Jean-Olivier Defraigne, Etienne Creemers |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Population Aortic Diseases Computed tomography 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Penetrating atherosclerotic ulcer medicine.artery medicine Humans Thoracic aorta 030212 general & internal medicine education Ulcer Aortic dissection Acute aortic syndrome education.field_of_study Disease entity medicine.diagnostic_test business.industry General Medicine Atherosclerosis medicine.disease Surgery cardiovascular system Radiology business Medical literature |
| Zdroj: | Acta Chirurgica Belgica. 117:1-7 |
| ISSN: | 0001-5458 |
| DOI: | 10.1080/00015458.2016.1212566 |
| Popis: | Penetrating aortic ulcer is a rare pathology, often clinically silent, but potentially fatal when manifesting as an acute aortic syndrome. It is more often detected in recent years, due to ageing of the population and more widespread use of computed tomography. A literature review aims to define the distinct disease entity of penetrating aortic ulcer.Five recent cases of penetrating aortic ulcer, treated in authors' department are reported. A review of English-language medical literature from 1980 to 2015 was undertaken using PubMed and EMBASE databases, to identify studies reporting surgical (open and endovascular) treatment of penetrating aortic ulcer.From September 2013 to September 2015, five cases of acute aortic syndrome caused by a penetrating atherosclerotic ulcer of the descending thoracic aorta were observed in authors' department. This represents 9% of all acute aortic syndromes admitted to our hospital in the same period. All five patients benefitted from thoracic endovascular stent grafting with a 100% success rate. Natural history and optimal management of penetrating aortic ulcer are outlined according to the most recent insights.Penetrating aortic ulcer represents 2-7% of all acute aortic syndromes. Symptomatic penetrating aortic ulcer requires coverage by thoracic endovascular stent grafting according to the recent guidelines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|