Penetrating atherosclerotic aortic ulcer: documentation by transesophageal echocardiography

Abstract

Aortic ulcers should be included in the differential diagnosis of chest or back pain, especially in elderly hypertensive patients. These ulcers and their complications may be recognized by TEE.

Atherosclerotic Vascular Disease Conference

“…However, it is known that PAUs were present in Ϸ10% of patients with symptoms of acute aortic syndrome (clearly a population at increased risk). 41,42 Reasonably good territory-specific end point data exist only for aortic aneurysms. The risk of rupture of an aortic aneurysm increases as aneurysm diameter increases.…”

Penetrating Atherosclerotic Ulcer at the Proximal Aorta Complicated With Cardiac Tamponade and Aortic Valve Regurgitation

“…A previous paper reports that they found this disease in 56-year-old, and approximately 17% of the patients has the ulcer in the ascending aorta. 7 In the differential diagnosis of penetrating aortic ulcer, especially in the proximal ascending aorta as in the present case, one should consider the possibility of a transmural rupture caused by a penetrating aortic ulcer. …”

Penetrating ulcer of the ascending aorta without rupture

“…As in the present case, the lesion can be overlooked on angiography due to the limited number of incidences, as well as by transesophageal echography the access to the arch being limited [6]. Multisliced CT scan and nuclear magnetic resonance imaging are the best diagnostic methods [1,4].…”