Bayona A, Vallejo E, Hernández-Estefanía R, Bastarrika G, Rábago G
Facultad de Medicina, Universidad de Navarra, Pamplona.
An Sist Sanit Navar. 2012 May-Aug;35(2):323-7. doi: 10.4321/s1137-66272012000200015.
Penetrating aortic ulcer (PAU) has been defined as an atherosclerotic plaque ulceration that breaks the internal elastic lamina of the aorta, which may progress to a wall hematoma or aortic dissection in the case of blood seeping into the middle layer. Although PAU is commonly located in the descending aorta, the involvement of the ascending aorta can be fatal. Therefore, surgery is indicated even in asymptomatic patients presenting an ascending PAU. We report on an asymptomatic patient with ascending PAU referred for replacement of the ascending aorta with a composite prosthetic graft.
穿透性主动脉溃疡（PAU）被定义为一种动脉粥样硬化斑块溃疡，它破坏了主动脉的内弹性膜，在血液渗入中层的情况下，可能进展为壁内血肿或主动脉夹层。尽管PAU通常位于降主动脉，但升主动脉受累可能是致命的。因此，即使是无症状的升主动脉PAU患者也需要进行手术治疗。我们报告了一例无症状的升主动脉PAU患者，该患者因升主动脉置换术而接受复合人工血管移植。
