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Angiology
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Penetrating Atherosclerotic Ulcer of the Ascending Aorta: A Delayed Complication of Coronary Artery Bypass Surgery

A Case Report

Deepak Jain, MD, DM

Medizinische Klinik II and Institut fur Radiologie, Universitdtsklinikum Lfbeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany.

Hans B. Gehl, MD

Institut fur Radiologie, Universitdtsklinikum Lfbeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany.

Hugo A. Katus, MD

Medizinische Klinik II and Institut fur Radiologie, Universitdtsklinikum Lfbeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany.

Gert Richardt, MD

Medizinische Klinik II and Institut fur Radiologie, Universitdtsklinikum Lfbeck, Ratzeburger Allee 160, D-23538 Lubeck, Germany.

A 71-year-old woman, undergoing coronary angiography during preoperative evaluation for a major noncardiac surgery, was fortuitously detected as having penetrating atherosclerotic ulcer of the ascending aorta 5 years after coronary artery bypass surgery. While acute aortic dissections have been described after coronary bypass grafting, penetrating atherosclerotic ulcer of the ascending aorta as a delayed complication of bypass surgery has never been reported. The patient was treated conservatively and closely observed. A brief review of liter ature is also presented.

Angiology, Vol. 54, No. 2, 251-255 (2003)
DOI: 10.1177/000331970305400217
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