Penetrating atherosclerotic ulcer of the ascending aorta
https://doi.org/10.24884/0042-4625-2020-179-2-44-46
Abstract
To date, the incidence of penetrating aortic ulcers is from 2 to 7 % of all cases of acute aortic syndrome, localization of this pathology in the ascending aorta are casuistic. We present the case of an intraoperative finding of a penetrating ulcer of the ascending aorta. The patient underwent separate prosthetics of the ascending aorta with the vascular prosthesis Uni-Graft No. 28 and the aortic valve prosthesis with the mechanical prosthesis Medtronic No. 23. The patient was discharged on the 8th day in a satisfactory condition. Penetrating atherosclerotic ulcer is a potentially life-threatening condition, the detection of which requires aggressive tactics of surgical treatment.
About the Authors
S. Yu. Boldyrev
Scientific Research Institute – Ochapovsky Regional Clinic Hospital № 1; Kuban State Medical University
Russian Federation
Russian Federation
Boldyrev Sergei Yu., Dr. of Sci. (Med.), Cardiovascular Surgeon, Department of Cardiac Surgery № 2
140, Rossijskaya str., Krasnodar, 350086
V. N. Suslova
Kuban State Medical University
Russian Federation
Russian Federation
Suslova Valentina N., clinical resident of the Department of Cardiac Surgery and Cardiology, Advanced Training Faculty
Krasnodar
V. A. Pekhterev
Scientific Research Institute – Ochapovsky Regional Clinic Hospital № 1
Russian Federation
Russian Federation
Pekhterev Valery A., Cardiovascular Surgeon, Department of Cardiac Surgery № 2
Krasnodar
K. O. Barbukhatti
Scientific Research Institute – Ochapovsky Regional Clinic Hospital № 1; Kuban State Medical University
Russian Federation
Russian Federation
Barbukhatti Kirill O., Dr. of Sci. (Med.), Head of the Department of Cardiac Surgery and Cardiology, Advanced Training Faculty; Head of the Department of Cardiac Surgery № 2
Krasnodar
V. A. Porhanov
Scientific Research Institute – Ochapovsky Regional Clinic Hospital № 1
Russian Federation
Russian Federation
Porkhanov Vladimir A., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head physician
Krasnodar
References
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2. Cho K. R., Stanson A. W., Potter D. D. et al. Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch. J Thorac Cardiovasc Surg. 2004;127:1393–1399.
3. Coady M. A., Rizzo J. A., Hammond G. L., Pierce J. G., Kopf G. S., Elefteriades J. A. Penetrating ulcer of the thoracic aorta: what is it? How do we recognize it? How do we manage it? J Vasc Surg. 1998;27(6):1006–1016.
Review
For citations:
Boldyrev S.Yu., Suslova V.N., Pekhterev V.A., Barbukhatti K.O., Porhanov V.A. Penetrating atherosclerotic ulcer of the ascending aorta. Grekov's Bulletin of Surgery. 2020;179(2):44-46. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-2-44-46
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