Key result
A 67-year-old man successfully underwent sequential surgical and endovascular repairs for three staggered ruptures of penetrating atherosclerotic ulcers in the thoracic aorta.
Why the study?
Penetrating aortic ulcers, aortic dissections, and intramural hematomas all represent acute aortic syndromes with important clinical similarities and differences.
Case Report (n=1)
This case demonstrates the feasibility of sequential surgical and endovascular salvage for multiple, staggered ruptures of penetrating aortic ulcers, though ultimate survival was limited by an unrelated malignancy.
Authors
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May support staged repair feasibility in select multiple PAU ruptures; hypothesis-generating and should not change practice.
Kaul et al. (2020) conducted a case report in Penetrating atherosclerotic ulcers of ascending aorta, aortic arch, and descending thoracic aorta (n=1). Surgical and endovascular repair (interposition graft, arch replacement, TEVAR) was evaluated on Survival and surgical success. A 67-year-old man successfully underwent sequential surgical and endovascular repairs for three staggered ruptures of penetrating atherosclerotic ulcers in the thoracic aorta.
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