标题：Multiple aortic atherosclerosis penetrating an ulcer
作者：Sun, Nianfeng; Meng, Qingyi; Tian, Ailing
作者机构：[Sun, Nianfeng; Meng, Qingyi; Tian, Ailing] Shandong Univ, Affiliated Jinan Cent Hosp, Dept Surg, Jinan Cn 250013, Peoples R China.
通讯作者地址：[Sun, NF]Shandong Univ, Affiliated Jinan Cent Hosp, Dept Surg, 105 Liberat Rd, Jinan Cn 250013, Peoples R China.
来源：AMERICAN JOURNAL OF SURGERY
关键词：Aortic atherosclerosis; Penetrating ulcer
摘要：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. (C) 2011 Elsevier Inc. All rights reserved.