Abstract

Penetrating atherosclerotic ulcer (PAU) represents part of the “acute aortic syndrome” (AAS) spectrum. It is uncommon but potentially hazardous if delayed or misdiagnosed. It may progress to complications such as intramural hematoma (IMH), aortic dissection (AD) or rupture. It is characterized by the ulceration of the aortic wall as a result of atherosclerotic plaque along the wall of aorta. Here, we describe a case of PAU complicated with IMH.

Key words: Atherosclerotic, Plaque, Atheroma, Aortic dissection, Hematoma