Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the
setting of acute aortic syndrome. In the literature, cases like the present one,
located in the aortic arch, starting with chest pain and evolving with dysphonia, are
even rarer. The present report emphasizes the role played by computed tomography in
the diagnosis of penetrating atherosclerotic ulcer as well as in the differentiation
of this condition from other acute aortic syndromes. Additionally, the authors
describe a new therapeutic approach represented by a hybrid endovascular surgical
procedure for treatment of the disease.
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