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Case Reports
. 2023 Apr 16;15(4):e37641.
doi: 10.7759/cureus.37641. eCollection 2023 Apr.

Ruptured Penetrating Atherosclerotic Ulcer Repaired With an Amplatzer Atrial Septal Occluder

Kyle J Clay  1 , William F Campbell  2 , Catherine E Lowe  2 , Adam N Protos  3 , Ashok Kumar Coimbatore Jeyakumar  3
Affiliations
Case Reports

Ruptured Penetrating Atherosclerotic Ulcer Repaired With an Amplatzer Atrial Septal Occluder

Kyle J Clay et al. Cureus. .

Abstract

Ascending aortic pseudoaneurysms are an infrequent but life-threatening complication of cardiac and aortic surgery. Although rare, these pseudoaneurysms can form as a complication of penetrating atherosclerotic ulcers. We report a case of a ruptured penetrating atherosclerotic ulcer repaired percutaneously with an Amplatzer Atrial Septal Occluder (Abbott, Plymouth, MN, USA).

Keywords: amplatzer septal occluder; aorta; cardiovascular disease; computed tomography; heart tamponade; penetrating aortic ulcer; peripheral arterial diseases; pseudoaneurysm.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Initial Imaging.
CT scan (A) and 3D reconstruction (B) of the chest showing a 1.9 x 1.8 x 1.7 cm proximal ascending aortic pseudoaneurysm.
Figure 2
Figure 2. Follow-Up Imaging.
Aortography (A), CT scan (B), and 3D reconstruction (C) of the chest showing an increase in the size of the ascending aortic pseudoaneurysm measuring 2.3 x 2.2 x 1.6 cm with new intramural extension of contrast.
Figure 3
Figure 3. Post-Intervention Imaging.
Aortography (A), CT scan (B), and 3D reconstruction (C) of the chest post-intervention showing no residual pseudoaneurysm or contrast extravasation.
See this image and copyright information in PMC

References

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