• Am J Emerg Med · Jul 2014

    Case Reports

    Unusual presenting of acute aortic dissection due to penetrating atheromatous ulcer.

    • Halil Atas, Erdal Durmus, Murat Sunbul, Yasar Birkan, and Beste Ozben.
    • Department of Cardiology, Marmara University Faculty of Medicine, Istanbul, Turkey.
    • Am J Emerg Med. 2014 Jul 1; 32 (7): 820.e5820.e5-6.

    AbstractPenetrating atheromatous ulcer (PAU) is an atherosclerotic ulcer penetrating the internal elastic lamina of the aortic wall causing a hematoma within the media layer of aorta. They are commonly located in the descending aorta of the elderly and hypertensive patients. They may rarely be complicated by aortic dissection. We report a relative young normotensive patient presenting with acute aortic dissection due to PAU located in the ascending aorta.

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