A blind spot in the eye of imaging technology: Penetrating atheromatous ulcer

Jorge Romero, Arpit Shah, Aleksandr Korniyenko

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Acute aortic syndrome (AAS) is a term that is used to describe a similar clinical profile that may have different underlying pathophysiological mechanisms. It includes classic aortic dissection, intramural aortic hematoma, and penetrating atherosclerotic ulcer. We describe the case of a 77-year-old female who presented with syncope of unknown duration. The chest X-ray was suggestive of a widened mediastinum. The initial work-up with a computed tomography scan and transesophageal echocardiogram failed to diagnose a penetrating atherosclerotic ulcer. We discuss the importance of a high degree of clinical suspicion for AAS and the utility of different imaging technologies in making the diagnosis.

Original languageEnglish (US)
Pages (from-to)322-325
Number of pages4
JournalHellenic Journal of Cardiology
Issue number4
StatePublished - Jul 2013
Externally publishedYes


  • Acute aortic syndrome
  • Aortic dissection
  • Chest pain
  • Pericardial effusion
  • Syncope

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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