Penetrating atherosclerotic ulcer (PAU) of ascending aorta

Case contributed by Dr Jens Christian Fischer

Presentation

65 year old male presenting with sudden onset chest pain

Patient Data

Age: 65
Gender: Male

Case Discussion

The CT shows an penetrating atherosclerotic ulcer of the ascending aorta with mediastinal hematoma and compression of the pulmonary artery.

This patient underwent surgery with successful replacement of the ascending aorta and the aortic arch. Unfortunately he went on to die 2 weeks later secondary to multi-organ failure.

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Case information

rID: 12810
Case created: 12th Jan 2011
Last edited: 15th Dec 2016
Systems: Chest, Vascular
Tags: aorta, pau
Inclusion in quiz mode: Included

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