Endovascular treatment of penetrating aortic ulcer: A case report

Abstract

A 51-year-old male patient was admitted with PAU to the vascular surgery outpatient clinic. The diagnosis of PAU was made using Duplex ultrasonography and confirmed by computed tomography angiography (CTA) of the aortoiliac segment. His medical history revealed low back pain which was previously misdiagnosed as lumbar syndrome. The patient had also several comorbidities including nicotinism, hypertension, hyperlipoproteinemia, ischemic chronic cardiomyopathy with a left ventricular ejection fraction of only 35%, chronic obstructive pulmonary disease, and non-signif icant stenosis of the internal carotid arteries bilaterally. The CTA (Siemens SOMATOM Sensation 16; Siemens Healthcare GmbH, Erlangen, Germany) showed peripheral arterial occlusive disease with a PAU, 18 mm in diameter, located in the f irst lumbar vertebra (Figure 1).