Introduction. Symptomatic penetrating aor- tic segment. Persistent or recurrent chest pain type II due to retrograde reperfusion of the tic ulcer (PAU) is a rare cause of acute aortic syn- were the main presenting symptoms. Etiolo- PAU (5 POD) and one autologenic iliac artery drome. Vascular surgeons face this diagnosis gy included three inflammatory, three mycot- transfer due to recurrent sarcoidosis after with increasing frequently due to the wides- ic, three atherosclerotic, one traumatic and 6 months. pread use of advanced and high-quality CT-im- one hereditary PAU. Mean follow-up was Conclusions. Symptomatic PAU of the thora- aging. PAU of the thoracoabdominal aorta is 30 months. coabdominal aorta is a rare condition. The pub- challenging, not only because of its unknown Results. Depending on the etiology and indi- lished prognosis is considered to be poor. Con- natural history and prognosis, but also be- vidual risk profile (comorbidities), the follow- ventional open repair is invasive with a poten- cause of its location and close proximity to the ing surgical reconstructions were performed: tial high risk of morbidity and mortality. En- visceral arteries. We present a large, single cen- six transfemoral endograft implantations, one dovascular and hybrid procedures extend the ter series,
Gefässchirurgie – Springer Journals
Published: Dec 21, 2004
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