PMC9126946_01
(A) Thoraco-abdominal transition penetrating aortic ulcer (PAU) sagittal views showing a wide neck thoraco-abdominal (TA)-PAU with short distal seal zone. Axial view revealing TA pseudoaneurysm with contained ruptured. 3D volume rendering reconstruction of the patient thoraco-abdominal aorta. (B) Follow up computed tomography angiography (18 months) (axial views and 3D volume rendering reconstructions) revealing total thrombosis and involution of TA-PAU and patency of the thoracic endograft and the stents implanted on visceral branches.
gr1.jpg
PMC9126946_01_gr1.jpg
fig1
A rapidly expanding TA-PAU, 13 mm above the coeliac trunk with a 32 x 30 mm pseudoaneurysm with contained rupture was noted (Fig. 1A), and urgent repair was proposed. At 18 months, the patient was asymptomatic and computed tomography angiography revealed complete PAU thrombosis and involution with patency of the visceral vessels (Fig. 1B).