Transapical endovascular stenting of penetrating atherosclerotic ulcer of ascending aorta.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24088494.
- Also identified by DOI 10.1016/j.athoracsur.2013.03.106.
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Abstract
A 71-year-old woman presented with acute chest pain and was admitted at our institution. Computed tomography revealed a penetrating atherosclerotic ulcer in the ascending aorta with extensive intramural hematoma. A transapical endovascular stenting was successfully performed. Computed tomography at a 6-month follow-up visit revealed a type I endoleak, which was restented through the same approach. Despite initial satisfactory results, follow-up revealed a persistent endoleak, so that a high-risk open surgical repair was required. Surgical replacement of the ascending aorta was successfully performed without postoperative neurologic deficit.
Medical subject headings
- Aorta
- Aortic Diseases
- Atherosclerosis
- Endovascular Procedures
- Stents
- Ulcer