Spontaneous perforation of a nonaneurysmal infrarenal aorta
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Spontaneous perforation of a nonaneurysmal infrarenal aorta. / Thalheimer, Andreas; Larena-Avellaneda, Axel; Buhler, Christoph; Meyer, Detlef; Franke, Siegfried.
in: ANN VASC SURG, Jahrgang 21, Nr. 1, 01.2007, S. 79-83.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Spontaneous perforation of a nonaneurysmal infrarenal aorta
AU - Thalheimer, Andreas
AU - Larena-Avellaneda, Axel
AU - Buhler, Christoph
AU - Meyer, Detlef
AU - Franke, Siegfried
PY - 2007/1
Y1 - 2007/1
N2 - Spontaneous perforation of a nonaneurysmal abdominal aorta due to a penetrating atherosclerotic ulcer (PAU) is exceedingly rare. We describe the case of a 57-year-old man with a perforating PAU of the infrarenal aortic wall and discuss the clinical presentation, diagnostic pathways, and therapeutic options based on a comprehensive review of the literature. Since a PAU of the aorta can give rise to chronic mild to moderate abdominal or back pain, a computed tomographic scan of the abdomen should be performed in patients with evidence of vascular disease and persistent abdominal or back discomfort. Surgical resection or stent-graft placement is indicated in symptomatic patients or in asymptomatic patients with radiographic signs of progressive PAU.
AB - Spontaneous perforation of a nonaneurysmal abdominal aorta due to a penetrating atherosclerotic ulcer (PAU) is exceedingly rare. We describe the case of a 57-year-old man with a perforating PAU of the infrarenal aortic wall and discuss the clinical presentation, diagnostic pathways, and therapeutic options based on a comprehensive review of the literature. Since a PAU of the aorta can give rise to chronic mild to moderate abdominal or back pain, a computed tomographic scan of the abdomen should be performed in patients with evidence of vascular disease and persistent abdominal or back discomfort. Surgical resection or stent-graft placement is indicated in symptomatic patients or in asymptomatic patients with radiographic signs of progressive PAU.
KW - Abdominal Pain/etiology
KW - Aortic Diseases/diagnosis
KW - Atherosclerosis/complications
KW - Blood Vessel Prosthesis Implantation
KW - Female
KW - Humans
KW - Kidney/blood supply
KW - Middle Aged
KW - Rupture, Spontaneous
KW - Tomography, X-Ray Computed
U2 - 10.1016/j.avsg.2006.07.001
DO - 10.1016/j.avsg.2006.07.001
M3 - SCORING: Review article
C2 - 17349341
VL - 21
SP - 79
EP - 83
JO - ANN VASC SURG
JF - ANN VASC SURG
SN - 0890-5096
IS - 1
ER -