Treatment of an asymptomatic penetrating aortic ulcer in a young patient

We want to report and discuss the indication for open surgery for an asymptomatic penetrating aortic ulcer (PAU) in the era of thoracic endovascular aortic repair (TEVAR). A 31-year-old female presented with the diagnosis of an aneurysm in the distal aortic arch. With respect to the patient’s young...

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Main Authors: Hakimi, Maani (Author) , Geisbüsch, Philipp (Author) , Groß-Weissmann, Marie-Luise (Author) , Hyhlik-Dürr, Alexander (Author) , Haußer-Siller, Ingrid (Author) , Tengg-Kobligk, Hendrik von (Author) , Böckler, Dittmar (Author)
Format: Article (Journal)
Language:English
Published: [May 2010]
In: Vasa
Year: 2010, Volume: 39, Issue: 2, Pages: 175-179
ISSN:1664-2872
DOI:10.1024/0301-1526/a000024
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1024/0301-1526/a000024
Verlag, lizenzpflichtig, Volltext: https://econtent.hogrefe.com/doi/10.1024/0301-1526/a000024
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Author Notes:M. Hakimi, P. Geisbüsch, M.-L. Gross, A. Hyhlik-Dürr, I. Hausser, H. von Tengg-Kobligk and D. Böckler (University Hospital Heidelberg)
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Summary:We want to report and discuss the indication for open surgery for an asymptomatic penetrating aortic ulcer (PAU) in the era of thoracic endovascular aortic repair (TEVAR). A 31-year-old female presented with the diagnosis of an aneurysm in the distal aortic arch. With respect to the patient’s young age, the controversial status of connective tissue disorders and in the absence of concomitant disease, open repair was indicated. There was no proof of a mycotic plaque or connective tissue disease in the microbiological-, pathological analysis and at electron-microscopy. The patient was discharged on the thirteenth postoperative day. In spite of good preliminary results of TEVAR in PAU, in selective cases there is still an indication for open surgery.
Item Description:Elektronische Reproduktion der Druckausgabe
Online veröffentlicht: January 07, 2013
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Physical Description:Online Resource
ISSN:1664-2872
DOI:10.1024/0301-1526/a000024