臨床症例報告ジャーナル

Ortner´s Syndrome Secondary to Penetrating Aortic Ulcer: Case Report and Literature Review

Abstract

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.