Eur J Cardiothorac Surg 2003;23:637
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Multiple penetrating aortic ulcers
Cesar Garcia-Madrid*,
Vicente Riambau,
Carlos-A. Mestres,
Miguel Josa
Department of CardioVascular Surgery, Institute of Cardiovascular Diseases, Hospital Clinic, University of Barcelona, C/Villarroel 170, 08036 Barcelona, Spain
Received 25 October 2002;
accepted 24 December 2002.
* Corresponding author. Tel.: +34-93-227-55-15; fax: +34-93-227-57-49
e-mail: cgarciam{at}clinic.ub.es
Key Words: Penetrating aortic ulcer • Stent-graft • Thoracic aorta • Angiography
A 55-year-old hypertensive male presented with an enlarged mediastinum. Magnetic resonance angiography (Fig. 1a–c
) and angio-computed tomography (Fig. 2
) showed thoracic aortic pseudoaneurysms up to 60 mm. Endovascular exclusion of penetrating aortic ulcers was performed with three Talent® 38x100 mm stent-grafts through the left femoral artery and the patient discharged 48 h later.
