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Penetrating aortic ulcer leading to aortic dissection

Giri, Smith MD; Dhakal, Prajwol MD; Hwang, Inyong MD; Siwakoti, Krishmita MD; Alsafwah, Shadwan MD, FACC

Journal of the American Academy of PAs: August 2017 - Volume 30 - Issue 8 - p 23–25
doi: 10.1097/01.JAA.0000520532.26130.e9
Case Report

ABSTRACT Rarely, penetrating atherosclerotic ulcers can rupture into the wall of the aorta, resulting in acute aortic dissection. This article describes a woman with an incidental diagnosis of type A aortic dissection secondary to a penetrating atherosclerotic ulcer of the ascending aorta. Although surgical repair of the aortic root was recommended, the patient refused treatment and left against medical advice.

Smith Giri, Inyong Hwang, Krishmita Siwakoti, and Shadwan Alsafwah practice in the Department of Medicine at the University of Tennessee Health Science Center in Memphis, Tenn. Prajwol Dhakal practices in the Department of Internal Medicine at Tribhuvan University Teaching Hospital in Kathmandu, Nepal. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2017 American Academy of Physician Assistants
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