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(Chest. 1994;106:624-626.)
© 1994 American College of Chest Physicians

Rupture of Thoracic Aorta Caused by Penetrating Aortic Ulcer

Yuichi Ando M.D.1; Hironobu Minami M.D.1; Hideyuki Muramoto M.D.2; Michihiko Narita M.D.3; and Shuzo Sakai M.D., F.C.C.P.1

1 From the Department of Internal Medicine, the Japanese Red Cross Nagoya First Hospital, Nagoya, Japan
2 From the Department of Radiology, the Japanese Red Cross Nagoya First Hospital, Nagoya, Japan
3 From the First Department of Pathology, Nagoya University School of Medicine, Nagoya, Japan

We present the findings in a 57-year-old man with a rupture of the thoracic aorta that originated in a penetrating atherosclerotic aortic ulcer. It formed a large hematoma that clinically mimicked a true saccular thoracic aneurysm. The possibility of penetrating aortic ulcer should be considered in the differential diagnosis of aortic aneurysm.




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Copyright © 1994 by the American College of Chest Physicians.