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CC BY 4.0 · Aorta (Stamford) 2014; 02(06): 289-292
DOI: 10.12945/j.aorta.2014.14-029
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Crater-Like Ulceration of Aortic Arch

Caterina Simon
1   Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
,
Alice Calabrese
2   Division of Cardiology, Papa Giovanni XXIII Hospital, Bergamo, Italy
,
Gianluca Canu
3   Division of Vascular Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
,
Maurizio Merlo
1   Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
,
Lorenzo Galletti
1   Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
› Author Affiliations
Further Information

Publication History

15 April 2014

25 September 2014

Publication Date:
24 September 2018 (online)

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Abstract

We report the case of a 78-year-old female who presented to our hospital with signs of hemorrhagic shock and breathlessness. A transthoracic echocardiography demonstrated pericardial effusion. Computed tomography of the chest showed a penetrating atherosclerotic ulcer of the aortic arch with an intramural hematoma of the ascending and descending aorta. Endovascular repair with stent-grafting was urgently performed and a pericardial window placement was done to reduce mediastinal bleeding.

Key Words

Aorta - Endovascular cardiography - Computed tomography scan
 

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