Endovascular repair of abdominal infrarenal penetrating aortic ulcers: A prospective observational study

Abstract

In our experience, endovascular or repair of infrarenal aortic ulcer appears feasible, and midterm results satisfactory.

What to Do When Evidence is Lacking — Implications on Treatment of Aortic Ulcers, Pseudoaneurysms and Aorto-Enteric Fistulae

“…Authorities in this area recommend conservative therapy in asymptomatic patients and to consider the evolving and attractive treatment with endovascular stent grafts (12). The number of small case series regarding endovascular treatment of PAUisrapidly increasing (13)(14)(15)(16)(17)(18)(19)(20). In the review by Forda nd Farber (13) comprising 133 patients treated endovascularly,non-successful deployment of the stent graft was only reported in three patients.…”

Abdominal Aortic Disease Caused by Penetrating Atherosclerotic Ulcers

“…Therefore, compared with fusiform aneurysms, the risks of migration and endoleak as complications specific to stent grafting decrease. 2,8,11,16,17,21,24) In the future, stent grafting as well as surgery will be a treatment choice based on the patient's general condition and preoperative activity.…”

A Rare Case of Penetrating Atherosclerotic Ulcer of the Aorta

“…It is caused by an atheromatous plaque that becomes ulcerated and disrupts the internal elastic lamina with associated haematoma within the media of the aortic wall [1][2][3][4][5][6]. An intramural haematoma forms as the exposed media is subjected to pulsatile arterial flow [5].…”

“…Penetrating atherosclerotic ulcer often affects the elderly, with atherosclerosis and hypertension. It typically involves the descending thoracic aorta [1,4,6]. Although rare, the aortic arch has been reported as a site for a PAU [1,7].…”