Medical and Surgical Management of a Descending Aorta Penetrating Atherosclerotic Ulcer and Associated Ascending Intramural Hematoma

Matthew C Henn; Christopher P Lawrance; Alan C Braverman; Luis Sanchez; Jennifer S Lawton

doi:10.12945/j.aorta.2014.13-060

Medical and Surgical Management of a Descending Aorta Penetrating Atherosclerotic Ulcer and Associated Ascending Intramural Hematoma

Aorta (Stamford). 2014 Apr 1;2(2):77-81. doi: 10.12945/j.aorta.2014.13-060. eCollection 2014 Apr.

Authors

Matthew C Henn¹, Christopher P Lawrance¹, Alan C Braverman², Luis Sanchez³, Jennifer S Lawton¹

Affiliations

¹ Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri;
² Division of Cardiology, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri; and.
³ Division of Vascular Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri.

Abstract

A 69-year-old man presented with chest pain and a computed tomography scan demonstrated an acute penetrating atherosclerotic ulcer (PAU) of the proximal descending aorta with an associated intramural hematoma (IMH) extending retrograde to the aortic root and distally to the renal arteries. He successfully underwent endovascular repair of the PAU and medical management of the associated ascending intramural hematoma with complete resolution at 6 months.

Keywords: Ascending intramural hematoma; Penetrating aortic ulcer; TEVAR.

Publication types

Case Reports