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, 36:498 | Cite as

Penetrating aortic ulcer

Defining risks and therapeutic strategies
  • M.S. Bischoff
  • P. Geisbüsch
  • A.S. Peters
  • A. Hyhlik-Dürr
  • D. BöcklerEmail author
Main topic/CME

Abstract

In addition to classic aortic dissection and intramural hematoma, acute aortic syndrome also includes penetrating aortic ulcers (PAU). The recent advent of highly detailed axial imaging allows closer assessment of PAU and its pathophysiology. However, there is still ongoing discussion about the natural history of the disease, leading to challenging questions concerning the optimal treatment strategy, particularly in asymptomatic patients. In this review, current indications for treatment, with an emphasis on PAU repair in the endovascular era, are discussed.

Keywords

Penetrating aortic ulcer Acute aortic syndrome Aortic diseases Endovascular procedures Stent-graft 

Das penetrierende Aortenulkus

Definition von Risiken und Therapiestrategien

Zusammenfassung

Das penetrierende Aortenulkus (PAU) zählt mit dem intramuralen Hämatom und der klassischen Aortendissektion zur Entität des akuten Aortensyndroms. Trotz moderner Schnittbildgebung, welche eine hochauflösende Darstellung dieser Aortenpathologie erlaubt, sind die dem PAU zugrunde liegenden pathophysiologischen Zusammenhänge noch nicht vollständig geklärt. Aufgrund der unzureichenden Datenlage bezüglich des natürlichen Verlaufs der Erkrankung bestehen nach wie vor offene Fragen hinsichtlich der optimalen Behandlungsstrategie. Dies trifft insbesondere bei klinisch asymptomatischen Patienten zu. In der vorliegenden Übersichtsarbeit werden aktuelle Behandlungsindikationen und Therapieansätze bei PAU mit dem Schwerpunkt der endovaskulären Versorgung diskutiert.

Schlüsselwörter

Penetrierendes Aortenulkus Akutes Aortensyndrom Aortale Wanderkrankungen Endovaskuläre Verfahren Stentgraft 

Notes

Conflict of interest

The corresponding author states that there are no conflicts of interest.

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Copyright information

© Urban & Vogel, Muenchen 2011

Authors and Affiliations

  • M.S. Bischoff
    • 1
  • P. Geisbüsch
    • 1
  • A.S. Peters
    • 1
  • A. Hyhlik-Dürr
    • 1
  • D. Böckler
    • 1
    Email author
  1. 1.Department of Vascular SurgeryHeidelberg University HospitalHeidelbergGermany

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