Multiple aortic atherosclerosis penetrating an ulcer

Abstract

Our patient had a left chest and back pain for more than 2 months, which had worsened during the previous month. Arteriae aorta CT angiography (CTA) diacrisis was as follows: (1) the aorta pectoralis protruded in local and parts of interparietal blood tumor emerged, the arterial canal paries calcified, may be the aortic atherosclerosis penetrating ulcer; (2) the low density of the abdominal aorta change, may be the interparietal blood tumor. During the surgery, according to the digital subtraction angiography (DSA) angiography, the aorta descendens penetrating ulcer emerged and the dissection of aorta formed at the remote end of the left subclavian artery, and an anabrosis also emerged 13 cm away from the remote end. The celiac axis also had an anabrosis, and combined with CTA, we decided to perform an isolation surgery, inserting the intracavitary bracket in the aorta pectoralis intracavitary. During the 6-month follow-up period, there was no pain or discomfort, with CTA re-examination, the bracket could be found at the range from the aortic arch to the inferior segment of aorta pectoralis.