Multiple Penetrating Aortic Ulcers Involving the Aortic Arch and Brachiocephalic Artery Benjamin Hickey, MRCS, Paul Vaughan, MRCS Ed, Allan Dawson, FRCPath,

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Presentation transcript:

Multiple Penetrating Aortic Ulcers Involving the Aortic Arch and Brachiocephalic Artery Benjamin Hickey, MRCS, Paul Vaughan, MRCS Ed, Allan Dawson, FRCPath, Aprim Youhana, FRCS(C-Th) The Annals of Thoracic Surgery Volume 90, Issue 3, Pages 997-999 (September 2010) DOI: 10.1016/j.athoracsur.2010.02.050 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic scan reconstruction demonstrating atheromatous aorta and penetrating ulcers (white arrows) affecting the brachiocephalic trunk (left arrow) and zenith of the aortic arch (right arrow). The Annals of Thoracic Surgery 2010 90, 997-999DOI: (10.1016/j.athoracsur.2010.02.050) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Three-dimensional computed tomographic reconstruction demonstrating the atheromatous aorta and penetrating ulcers (*). The Annals of Thoracic Surgery 2010 90, 997-999DOI: (10.1016/j.athoracsur.2010.02.050) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photograph demonstrating two penetrating ulcers (*). The left affects the proximal brachiocephalic trunk, and the right affects the zenith of the aortic arch. The Annals of Thoracic Surgery 2010 90, 997-999DOI: (10.1016/j.athoracsur.2010.02.050) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 A resected specimen demonstrating severe atheromatous disease and imminent rupture (arrow) of the ulcer adjacent to the left subclavian artery. The Annals of Thoracic Surgery 2010 90, 997-999DOI: (10.1016/j.athoracsur.2010.02.050) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions