Case Reports

AORTA, Article in Press
DOI: 10.12945/j.aorta.17.040

Single-Stage Endovascular Treatment of a Penetrating Aortic Ulcer With a Concomitant "Isolated" Iliac Aneurysm

Haidi Hu, MD, PhD1,2, Jianming Guo, MD2, Hualong Bai, MD, PhD2, Alan Dardik, MD, PhD2

1 Department of Vascular and Thyroid Surgery, the First Hospital of China Medical, The First Hospital of China Medical University, Shenyang, Liaoning, China
2 Department of Surgery and Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Connecticut, USA

Abstract

Penetrating aortic ulcer (PAU) is an acute aortic syndrome that can proceed to life-threatening aortic dissection or even aortic rupture. Isolated iliac aneurysms (IIA) are relatively rare and often asymptomatic due to their deep pelvic location but frequently have high mortality with rupture. We report a case of a 68-year-old male with a symptomatic penetrating ulcer in the descending aorta and an asymptomatic right iliac aneurysm involving the common and internal iliac arteries. The patient was successfully treated by endovascular repair in a single-stage manner using stent grafts in the descending aorta and the right common iliac artery after coil embolization of the right internal iliac artery. Follow-up imaging showed complete resolution of the PAU and exclusion of the right iliac aneurysm without endoleak. Aggressive endovascular treatment for a symptomatic PAU with an asymptomatic IIA is feasible and allows complete treatment of vascular pathology at a single time.

Cite this article as: Hu H, Guo J, Bai H, Dardik A. Single-Stage Endovascular Treatment of a Penetrating Aortic Ulcer With a Concomitant "Isolated" Iliac Aneurysm. Aorta (Stamford). DOI: 10.12945/j.aorta.17.040 [In Press]

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