Goldstein D J, Flores R M, Todd G J
Department of Surgery, Columbia Presbyterian Medical Center, New York, N.Y., USA.
J Vasc Surg. 1997 Oct;26(4):700-3. doi: 10.1016/s0741-5214(97)70073-9.
We report a case of spontaneous rupture of a nonaneurysmal infrarenal aorta through an area of atherosclerotic thinning. Close follow-up, aggressive antihypertensive therapy, and serial imaging of asymptomatic patients with documented aortic ulceration is warranted. In symptomatic patients, surgical intervention should be undertaken so that transmural aortic rupture can be averted.