Penetrating atherosclerotic ulcer

Case contributed by Dr Paul Heyworth

Presentation

Intense chest pain radiating to the back.

Patient Data

Age: 65 years
Gender: Male
CT

Pre-Op

Penetrating atherosclerotic ulcer just distal to the left subclavian artery with a neck measuring 8.9 mm. Mild extension of the false lumen.

Case Discussion

One of the disease processes under the umbrella of acute aortic syndromes (with dissection and intramural hematoma being the other diseases).

On CT aortograms, the typical finding is of a contrast-filled out-pouching of the wall of the aorta.

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Case information

rID: 60143
Published: 9th May 2018
Last edited: 10th May 2018
System: Vascular
Inclusion in quiz mode: Included

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