TY - JOUR
T1 - Penetrating ulceration of the infrarenal aorta
T2 - Case reports of an embolic and an asymptomatic lesion
AU - Farooq, Michael M.
AU - Kling, Karen
AU - Yamini, Dan
AU - Gelabert, Hugh A.
AU - Baker, J. Dennis
AU - Freischlag, Julie A.
PY - 2001
Y1 - 2001
N2 - Penetrating aortic ulceration is uncommon in the infrarenal aorta. We describe a patient with a penetrating infrarenal aortic ulcer manifesting as blue toe syndrome, and a second patient with a similar lesion identified as an incidental finding. These two patients were treated for penetrating infrarenal aortic ulceration within the past 9 months at two university-affiliated hospitals, a regional Veterans Administration Medical Center, and a County Medical Center. Both lesions demonstrated aneurysm changes with varying degrees of mural thrombus. The lesion filled with fresh thrombus proved labile, with embolization manifesting as blue toe syndrome. We support the aggressive treatment of aneurysmal penetrating aortic ulcer with aortic graft replacement to eliminate the potential for distal embolization and to obviate the risk of rupture and death.
AB - Penetrating aortic ulceration is uncommon in the infrarenal aorta. We describe a patient with a penetrating infrarenal aortic ulcer manifesting as blue toe syndrome, and a second patient with a similar lesion identified as an incidental finding. These two patients were treated for penetrating infrarenal aortic ulceration within the past 9 months at two university-affiliated hospitals, a regional Veterans Administration Medical Center, and a County Medical Center. Both lesions demonstrated aneurysm changes with varying degrees of mural thrombus. The lesion filled with fresh thrombus proved labile, with embolization manifesting as blue toe syndrome. We support the aggressive treatment of aneurysmal penetrating aortic ulcer with aortic graft replacement to eliminate the potential for distal embolization and to obviate the risk of rupture and death.
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U2 - 10.1007/s100160010062
DO - 10.1007/s100160010062
M3 - Article
C2 - 11265094
AN - SCOPUS:0035072469
SN - 0890-5096
VL - 15
SP - 255
EP - 259
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 2
ER -