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Penetrating Aortic Ulceration Treated with Castor Branched Aortic Stent Graft—A Case Series

Author

Listed:
  • Antonio Rizza

    (Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy)

  • Francesco Negro

    (Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy)

  • Stefano Palermi

    (Human Anatomy and Sport Medicine Division, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy)

  • Cataldo Palmieri

    (Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy)

  • Michele Murzi

    (Cardiac Surgery Department, G. Pasquinucci Heart Hospital, 54100 Massa, Italy)

  • Giovanni Credi

    (Unit of Vascular Surgery, Hospital of Massa Carrara, 54100 Massa, Italy)

  • Sergio Berti

    (Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy)

Abstract

Penetrating aortic ulceration (PAU) is an acute aortic syndrome similar to aortic dissection and intramural hematoma. It is the result of a tunica intima ulceration due to atherosclerotic disease. This clinical condition can lead to serious complications and a poor short-term prognosis, especially in high-surgical-risk patients. We report three cases of patients referred to “Ospedale del Cuore” of Massa (Italy) with PAU at the aortic arch-proximal descending aorta level who could not undergo surgical intervention. For the first time in Italy, we successfully treated these patients with a full percutaneous implantation of a Castor branched aortic stent graft. Our case series shows that this type of endovascular graft is an effective, safe, and feasible treatment for PAU involving a distal aortic arch and avoiding surgery and related complications.

Suggested Citation

  • Antonio Rizza & Francesco Negro & Stefano Palermi & Cataldo Palmieri & Michele Murzi & Giovanni Credi & Sergio Berti, 2022. "Penetrating Aortic Ulceration Treated with Castor Branched Aortic Stent Graft—A Case Series," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4809-:d:794618
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