Penetrating Aortic Ulceration Treated with Castor Branched Aortic Stent Graft-A Case Series.
Antonio RizzaFrancesco NegroStefano PalermiCataldo PalmieriMichele MurziGiovanni CrediSergio BertiPublished in: International journal of environmental research and public health (2022)
Penetrating aortic ulceration (PAU) is an acute aortic syndrome similar to aortic dissection and intramural hematoma. It is the result of a tunica intima ulceration due to atherosclerotic disease. This clinical condition can lead to serious complications and a poor short-term prognosis, especially in high-surgical-risk patients. We report three cases of patients referred to "Ospedale del Cuore" of Massa (Italy) with PAU at the aortic arch-proximal descending aorta level who could not undergo surgical intervention. For the first time in Italy, we successfully treated these patients with a full percutaneous implantation of a Castor branched aortic stent graft. Our case series shows that this type of endovascular graft is an effective, safe, and feasible treatment for PAU involving a distal aortic arch and avoiding surgery and related complications.
Keyphrases
- aortic dissection
- aortic valve
- end stage renal disease
- pulmonary artery
- newly diagnosed
- minimally invasive
- ejection fraction
- chronic kidney disease
- randomized controlled trial
- prognostic factors
- peritoneal dialysis
- coronary artery
- risk factors
- atrial fibrillation
- cardiovascular disease
- heart failure
- liver failure
- pulmonary hypertension
- metabolic syndrome
- coronary artery disease
- hepatitis b virus
- pulmonary arterial hypertension
- intensive care unit
- acute coronary syndrome
- extracorporeal membrane oxygenation