Penetrating Atherosclerotic Aortic Ulcer Mimicking Acute Inferior Myocardial Infarction
Authors:
- 1 October 2009
- journal article
- case report
- Published by Wiley in Echocardiography
- Vol. 26 (9) , 1084-1086
Abstract
Penetrating atherosclerotic ulcers (PAU), aortic dissection, and intramural hematoma are the three most important diseases involving the aorta which are classified as acute aortic syndromes. Penetrating atherosclerotic aortic ulceration is characterized by ulceration of atheromatous plaque disrupting the internal elastic lamina. These aortic ulcers may penetrate through the media to cause aortic pseudoaneurysms or less often through the adventitia to cause transmural aortic rupture. We described a case of penetrating atherosclerotic ulcer of ascending aorta mimicking ST elevation myocardial infarction. To our knowledge, this is the first case reported in the literature of such a complication from PAU.Keywords
This publication has 9 references indexed in Scilit:
- Frequency of and Inappropriate Treatment of Misdiagnosis of Acute Aortic DissectionThe American Journal of Cardiology, 2007
- Penetrating atherosclerotic ulcers of the aortaBritish Journal of Surgery, 2001
- Acute aortic syndromeHeart, 2001
- Penetrating Atherosclerotic Ulcer of the Aorta: Imaging Features and Disease ConceptRadioGraphics, 2000
- Penetrating atherosclerotic aortic ulcer: documentation by transesophageal echocardiographyJACC, 1998
- Penetrating ulcer of the thoracic aorta: What is it? How do we recognize it? How do we manage it?Journal of Vascular Surgery, 1998
- Penetrating aortic ulcers: diagnosis with MR imaging.Radiology, 1990
- The Penetrating Aortic Ulcer: Pathologic Manifestations, Diagnosis, and ManagementMayo Clinic Proceedings, 1988
- Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlationsAnnals of Vascular Surgery, 1986