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Vascular and Endovascular Surgery
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Multiple Penetrating Atherosclerotic Ulcers of the Aorta: Report of a Case

Yoshihiko Tsuji, MD

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan; ytsuji{at}med.kobe-u.ac.jp;ytsuji@maia.eonet.ne.jp

Yutaka Okita, MD

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Japan

Koji Sugimoto, MD

Department of Radiology, Kobe University Graduate School of Medicine, Japan

Teruo Yamashita, MD

Yutaka Hino, MD

Hiroshi Tanaka, MD

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Japan

Takanori Taniguchi, MD

Department of Radiology, Kobe University Graduate School of Medicine, Japan

Masamichi Matsumori, MD

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Japan

A 69-year-old hypertensive man who had 7 pseudoaneurysms caused by penetrating atherosclerotic ulcers underwent 2-staged endovascular grafting in the thoracic and thoracoabdominal aorta and a conventional graft replacement of the abdominal aorta. He had an uneventful postoperative course; follow-up computed tomography demonstrated that all aneurysmal lesions treated by endovascular grafting completely disappeared. He has been free from any aortic events 20 months after the last surgery.

Key Words: pseudoaneurysm • penetrating atherosclerotic ulcers • endovascular graft

Vascular and Endovascular Surgery, Vol. 40, No. 6, 495-498 (2007)
DOI: 10.1177/1538574406294367
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