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Acute penetrating atherosclerotic ulcer of the ascending aorta
Author(s) -
Cervetti Manuel R,
Camporrotondo Mariano,
Ricapito Paz,
Espinoza Juan C,
Piccinini Fernando,
Vrancic Mariano,
Navia Daniel
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13999
Subject(s) - medicine , ascending aorta , chest pain , aortic root , cardiac catheterization , radiology , cardiology , artery , acute coronary syndrome , aorta , myocardial infarction
A 67‐year‐old man presented with chest pain. Clinical examination revealed hypertension (160/90 mm Hg). Electrocardiogram indicated no acute coronary syndrome and cardiac enzymes were normal. Catheterization was performed owing to the patient’s continuing chest pain and ascending aortogram revealed irregular aortic wall. A computed tomography image showed the shape of penetrating ulcer. The patient was taken to the operating room and intraoperative examination confirmed the diagnosis of penetrating atherosclerotic ulcer (PAU). Coronary artery bypass graft and bovine pericardial patch repair of PAU was performed. A bovine pericardial patch was done as aortic root was heavily calcified and was easy to handle and more hemostatic.