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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 on theme: "Multiple Penetrating Aortic Ulcers Involving the Aortic Arch and Brachiocephalic Artery  Benjamin Hickey, MRCS, Paul Vaughan, MRCS Ed, Allan Dawson, FRCPath,"— Presentation transcript:

1 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 (September 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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

4 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  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5 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  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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