AI Article Synopsis
- Penetrating aortic ulcer (PAU) is a serious condition where an ulcer damages the aortic wall, leading to high risks of rupture, reported at up to 38%.
- A unique case of a PAU is presented in which it caused an aortogastric fistula, resulting in severe internal bleeding.
- Despite immediate treatment through thoracic endovascular aortic repair, the patient ultimately died from hypovolemic shock.
Article Abstract
Penetrating aortic ulcer (PAU) is an atherosclerotic lesion with ulceration that penetrates the internal elastic lamina of the aortic wall. PAUs are classified as a category of acute aortic syndrome and have a reported rupture rate of up to 38%. To our knowledge, there is no prior published report of a PAU causing an aortogastric fistula. With the goal of raising awareness of this potentially catastrophic complication, we present herein a case of a PAU that ruptured into the gastric fundus, resulting in massive bleeding. The diagnosis was confirmed by computed tomography angiography, and thoracic endovascular aortic repair was used to control bleeding. Unfortunately, the patient did not survive the severe hypovolemic shock.
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| http://dx.doi.org/10.1016/j.avsg.2015.06.080 | DOI Listing |
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