Bischoff M S, Geisbüsch P, Peters A S, Hyhlik-Dürr A, Böckler D
Department of Vascular Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Herz. 2011 Sep;36(6):498-504. doi: 10.1007/s00059-011-3513-9.
In addition to classic aortic dissection and intramural hematoma, acute aortic syndrome also includes penetrating aortic ulcers (PAU). The recent advent of highly detailed axial imaging allows closer assessment of PAU and its pathophysiology. However, there is still ongoing discussion about the natural history of the disease, leading to challenging questions concerning the optimal treatment strategy, particularly in asymptomatic patients. In this review, current indications for treatment, with an emphasis on PAU repair in the endovascular era, are discussed.
除了经典的主动脉夹层和壁内血肿外，急性主动脉综合征还包括穿透性主动脉溃疡（PAU）。高分辨率轴向成像技术的出现，使得对PAU及其病理生理学有了更深入的评估。然而，关于该疾病的自然病程仍在讨论中，这导致了关于最佳治疗策略的挑战性问题，尤其是在无症状患者中。在这篇综述中，我们讨论了当前的治疗指征，重点是血管腔内治疗时代的PAU修复。
