This case demonstrates that a penetrating atherosclerotic ulcer in the proximal ascending aorta complicated by cardiac tamponade can sometimes be managed conservatively with pericardiocentesis and sympathomimetic agents.
A 56-year-old man had a penetrating atherosclerotic ulcer originating in the proximal ascending aorta, which is an unusual case of penetrating aortic ulcer complicated with the aortic valve regurgitation and cardiac tamponade. This hemodynamically unstable patient was successfully treated by conservative management to control his blood pressure and was also monitored closely with follow-up imaging studies.
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Yano et al. (1999) studied this question.
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