Penetrating aortic ulcer associated with juxtarenal aortic occlusion.

摘要

Penetrating atheromatous ulcers of the aorta are increasingly recognized as a distinct entity. Given the morbidity associated with open repair, endovascular repair of penetrating atheromatous ulcers is often the treatment of choice. Aortoiliac occlusive disease can make standard femoral access impossible and alternative options for endograft delivery are required. We describe a case of a penetrating thoracic aortic ulcer associated with juxtarenal aortic occlusion treated with a combined surgical and endovascular method.