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首页> 外文期刊>Journal of cardiac surgery. >Endovascular stent: grafting in penetrating atherosclerotic ulcer of the thoracic aorta.
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Endovascular stent: grafting in penetrating atherosclerotic ulcer of the thoracic aorta.

机译：血管内支架：移植入胸主动脉的穿透性动脉粥样硬化性溃疡。

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摘要

The aim of our study is the presentation of some interesting images of a case with symptomatic penetrating atherosclerotic ulcer (PAU) of the thoracic aorta and its endovascular treatment. Penetrating atherosclerotic ulcer is an ulcerating atherosclerotic lesion that penetrates the elastic lamina and is correlated with intramural hematoma (IMH) formation into the media layer of the aortic wall. PAU is more common in the elderly with severe atherosclerosis, hypertension, and hyperlipidemia. Transesophageal echocardiography, computed tomography, and magnetic resonance imaging are the common diagnostic tools. Surgical treatment may become necessary in cases involving the ascending aorta or in cases of intramural haematoma formation. In the era of minimally invasive surgery stent-grafting is indicated mainly in the elderly patients in presence of serious co-morbidities.
机译：我们研究的目的是介绍一些有症状的胸主动脉穿透性动脉粥样硬化性溃疡（PAU）及其血管内治疗的图像。穿透性动脉粥样硬化性溃疡是一种溃疡性动脉粥样硬化性病变，其穿透弹性层并与壁内血肿（IMH）形成进入主动脉壁的中层有关。 PAU在患有严重动脉粥样硬化，高血压和高脂血症的老年人中更为常见。经食道超声心动图，计算机断层扫描和磁共振成像是常见的诊断工具。在涉及升主动脉或壁内血肿形成的情况下，可能需要手术治疗。在微创手术时代，支架移植主要用于存在严重合并症的老年患者。

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