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Penetrating atherosclerotic ulcers in an abdominal aortic aneurysm: Report of a case

Authors
  • Moriyama, Yukinori1
  • Yamamoto, Hiroyuki1
  • Hisatomi, Kouichi1
  • Matsumoto, Hitoshi1
  • Shimokawa, Shinji1
  • Toyohira, Hitoshi1
  • Taira, Akira1
  • 1 Kagoshima University, Faculty of Medicine, Second Department of Surgery, 8-35-1 Sakuragaoka, Kagoshima City, 890, Japan , Kagoshima City
Type
Published Article
Journal
Surgery Today
Publisher
Springer-Verlag
Publication Date
Jan 01, 1998
Volume
28
Issue
1
Pages
105–107
Identifiers
DOI: 10.1007/BF02483620
Source
Springer Nature
Keywords
License
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Abstract

We report the case of a 74-year-old man found to have an extensive intramural hematoma (IMH) in the infrarenal abdominal aorta during a follow-up imaging study performed after repair of a DeBakey type II aortic dissection with an aortic arch true aneurysm. Enhanced computed tomographic scan and angiography revealed an extensive IMH and multiple penetrating atherosclerotic ulcers in the abdominal aorta. The patient underwent a successful replacement of the affected abdominal aorta using a collagen-impregnated woven Dacron graft. Atheromatous ulcers are known to occur frequently in patients with advanced atherosclerosis. Hence, the elderly hypertensive patient, being at high risk of developing a variety of aortic disorders, requires careful follow-up imaging studies to assess the aorta on a regular basis.

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