Úlcera penetrante aórtica y aneurisma sacular de la aorta abdominal

Summary. Introduction. Saccular aortic aneurysms are an unusual and uncommon condition (1%). Although they can be secondary to an infection, they are usually associated with an emerging aortic disease: the penetrating aortic ulcer (PAU). Clinical case. A case is presented of a patient with a previous history of peripheral artery embolisms, due to a small fusiform aneurysm, who over the years was re-admitted due to unbearable and continuous pain. The angio-CT showed a thrombosed saccular aortic aneurysm associated with the previous fusiform. Due to suspicion of a contained ruptured aneurysm the patient was operated on by resection and an end to end silver impregnated Dacron endograft, with the contained rupture of the aortic wall being checked during the surgery. Conclusion. Saccular aortic aneurysms secondary to a PAU have an uncertain evolution. However, due to the potential risk of an aortic rupture, surgical treatment is recommended. . [ANGIOLOGÍA 2009; 61: 349-54]