Christian Baraldi1, Mauro Cassese1and Felipe Gerardo Rend
Acute aortic syndrome is defined as an acute process in the aortic wall caused by disruption of the medial layer to a varying degree with the risk of aortic rupture and other complications. A penetrating aortic ulcer is included in the AAS and represents the 2-7% of the AAS. With progression, it leads to intramural haemorrhage, the formation of pseudoaneurysm with great risk of rupture. We present a case of a 65-year-old patient with an atypical presentation of penetrating aortic ulcer in the aortic arch associated with intramural hematoma, pseudoaneurysm and Ortner´s syndrome that required thoracic endovascular aortic repair that present complication of endoleak Type IA that was managed with the strategies “wait and see” and review the medical literature.
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