Penetrating atherosclerotic ulcer of the ascending aorta

• Main Authors: S. Yu. Boldyrev, V. N. Suslova, V. A. Pekhterev, K. O. Barbukhatti, V. A. Porhanov
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2020-06-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: penetrating atherosclerotic ulcer; ulcer of the ascending aorta; prosthetics of the aortic valve; supracoronary aortic prosthetic
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/1430

To date, the incidence of penetrating aortic ulcers is from 2 to 7 % of all cases of acute aortic syndrome, localization of this pathology in the ascending aorta are casuistic. We present the case of an intraoperative finding of a penetrating ulcer of the ascending aorta. The patient underwent separate prosthetics of the ascending aorta with the vascular prosthesis Uni-Graft No. 28 and the aortic valve prosthesis with the mechanical prosthesis Medtronic No. 23. The patient was discharged on the 8th day in a satisfactory condition. Penetrating atherosclerotic ulcer is a potentially life-threatening condition, the detection of which requires aggressive tactics of surgical treatment.