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J Assoc Physicians India. 2011 Jan;59:59-61.

Acute aortic syndrome--penetrating atherosclerotic ulcer with contained rupture managed by endovascular stent-grafting.

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  • 1Dept of Medicine, LTM Medical College and General Hospital, Sion, Mumbai 400 022.


We present the case of a hypertensive male who came with acute onset of severe backache and hypotension. Emergency imaging revealed a penetrating atherosclerotic ulcer of descending thoracic aorta with contained rupture and bilateral hemothorax. Initially stabilised with medical management, this patient went on to undergo endovascular stent-grafting. The sequence of clinical events of this uncommon entity and the relatively novel interventional modality are reviewed.

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