Penetrating Aortic Ulceration Treated with Castor Branched Aortic Stent Graft—A Case Series

Antonio Rizza, Francesco Negro, Stefano Palermi, Cataldo Palmieri, Michele Murzi, Giovanni Credi and Sergio Berti
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Antonio Rizza: Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy
Francesco Negro: Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy
Stefano Palermi: Human Anatomy and Sport Medicine Division, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy
Cataldo Palmieri: Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy
Michele Murzi: Cardiac Surgery Department, G. Pasquinucci Heart Hospital, 54100 Massa, Italy
Giovanni Credi: Unit of Vascular Surgery, Hospital of Massa Carrara, 54100 Massa, Italy
Sergio Berti: Cardiology Unit, Fondazione Toscana Gabriele Monasterio, 54100 Massa, Italy

IJERPH, 2022, vol. 19, issue 8, 1-12

Abstract: Penetrating aortic ulceration (PAU) is an acute aortic syndrome similar to aortic dissection and intramural hematoma. It is the result of a tunica intima ulceration due to atherosclerotic disease. This clinical condition can lead to serious complications and a poor short-term prognosis, especially in high-surgical-risk patients. We report three cases of patients referred to “Ospedale del Cuore” of Massa (Italy) with PAU at the aortic arch-proximal descending aorta level who could not undergo surgical intervention. For the first time in Italy, we successfully treated these patients with a full percutaneous implantation of a Castor branched aortic stent graft. Our case series shows that this type of endovascular graft is an effective, safe, and feasible treatment for PAU involving a distal aortic arch and avoiding surgery and related complications.

Keywords: acute aortic syndromes; penetrating aortic ulceration; aortic arch; left subclavian artery; endovascular graft (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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