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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2025, Número 1

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Cir Card Mex 2025; 10 (1)


Síndrome de Ortner secundario a úlcera penetrante aórtica. Reporte de un caso y revisión de la literatura

Baraldi C, Cassese M, Castillo-Romero C, Leyva-Villegas JI, Puente U, Alvarado-Gómez JA, Rendón-Elías FG

Idioma: Ingles.
Referencias bibliográficas: 71
Paginas: 14-21
Archivo PDF: 739.87 Kb.


RESUMEN

El síndrome aórtico agudo se define como un proceso agudo en la pared aórtica causado por la ruptura de la capa medial en mayor o menor grado, con riesgo de rotura aórtica y otras complicaciones. La úlcera aórtica penetrante se incluye en el síndrome aórtico agudo y representa 2-7% de las presentaciones de este síndrome. La úlcera aórtica penetrante puede ocasionar una hemorragia intramural, la formación de pseudoaneurisma, lo que conlleva a un gran riesgo de ruptura. Presentamos el caso de un paciente de 65 años con una presentación atípica de úlcera aórtica penetrante en el arco aórtico asociada a hematoma intramural, pseudoaneurisma y síndrome de Ortner que requirió reparación aórtica endovascular torácica, la cual presentó como complicación una endofuga tipo IA que se manejó con las estrategias "ver y esperar".


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