Penetrating Aortic Ulcer and Aortic Intramural Hematoma
These two conditions are irregularities of the aortic wall that can develop into aortic aneurysms or dissections. Patients usually complain of chest or back pain that is sometimes unusual or difficult to describe.
Penetrating aortic ulcer is an area that erodes into the lining of the aorta. The wall becomes weakened and may form a localized “outpouching” (aneurysm). This weakened area is also prone to dissection, as the walls of the aorta can tear and separate.
Intramural hematoma is a bruising of the aortic wall. This can occur during trauma or may be due to spontaneous bleeding within the wall of the aorta. This process also weakens the aorta, leading to aneurysm formation or dissection.
Penetrating aortic ulcer and intramural hematoma are associated with:
- High blood pressure
- Coronary artery disease (atherosclerosis or clogged arteries)
- Aortic aneurysm
- Aortic dissection
Diagnostic Tests for PAU and AIH
These two conditions are usually diagnosed by CT scanning or MRI in an individual that complains of chest or back pain that is sometimes unusual or difficult to categorize.
Treatments for PAU and AIH
Treatment varies and may range from simple observation with repeat scans, endovascular stenting to seal the weakened area of the aorta, or open surgery to replace the diseased aorta. Your doctor will discuss your treatment options with you.
© 2018 Intermountain Healthcare. All rights reserved. The content presented here is for your information only. It is not a substitute for professional medical advice, and it should not be used to diagnose or treat a health problem or disease. Please consult your healthcare provider if you have any questions or concerns.