CTICasesPenetrating Aortic Ulcer with Tamponade
Imaging findings
Contrast CT shows a focal penetrating aortic ulcer in the ascending aorta, associated with a large hemopericardium and blood tracking into the pulmonary artery sheath. The patient was treated with Hemiarch debranching and a frozen elephant trunk.
Key takeaways
Penetrating aortic ulcers of the ascending aorta can leak directly into the pericardium, causing hemopericardium and tamponade. Surgical management often includes arch debranching and a frozen elephant trunk repair.
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