Aggressive progression of penetrating atheromatous ulcer of the descending thoracic aorta.

@article{Krishna2012AggressivePO,
  title={Aggressive progression of penetrating atheromatous ulcer of the descending thoracic aorta.},
  author={Cheemalapati Sai Krishna and John D. Grizzard and Derek R. Brinster},
  journal={The heart surgery forum},
  year={2012},
  volume={15 3},
  pages={
          E174-6
        }
}
The treatment of acute aortic pathologies continues to evolve with enhanced imaging capabilities. This case report highlights the rapid progression of penetrating atherosclerotic ulcer to pseudoaneurysm development and subsequent treatment with thoracic endovascular stent graft. 

References

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To the Editor: We agree with Ganaha et al1 that differentiation between the distinct clinical entities of intramural hematoma (IMH) and penetrating atherosclerotic ulcer (PAU) is essential.
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TLDR
On the basis of CT findings, some hematomas may be expected to resolve spontaneously, whereas others may be identified as posing a high risk for serious complications such as aortic dissection, aneurysm, and rupture.