Herrero Lara, Juan AntonioAraújo Martins-Romêo, Daniela deCaparrós Escudero, CarlosLepe Vázquez, Rosa MaríaPrieto Falcón, María Del CarmenBianchi Batista, Vinicius2016-08-102016-08-102015-05Herrero Lara JA,de Araújo Martins-Romêo D, Caparrós Escudero C, Lepe Vázquez RM, Prieto Falcón MC, Bianchi Batista V. Hybrid treatment of penetrating aortic ulcer. Radiol Bras. 2015; 48(3):192-4http://hdl.handle.net/10668/2350[Portuguese] A úlcera aórtica penetrante é uma entidade rara e de prognóstico desfavorável dentro da síndrome aórtica aguda. Mais raros ainda, na literatura, são os casos como o aqui relatado, localizado no arco aórtico, que começa com dor torácica e evolui com disfonia. O presente caso enfatiza o papel da tomografia computadorizada no diagnóstico da úlcera aórtica penetrante e na sua diferenciação de outras entidades dentro da síndrome aórtica aguda. Apresenta também um avanço terapêutico nessa doença, constituído por tratamento híbrido endovascular e cirúrgico.Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome. In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer. The present report emphasizes the role played by computed tomography in the diagnosis of penetrating atherosclerotic ulcer as well as in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.enComputed tomographyThoracic aortaAortic diseasesAtherosclerosisCardiovascular surgeryAorta torácicaDolor en el pechoProcedimientos endovascularesRonqueraTomografíaMedical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::AortaMedical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Aorta::Aorta, ThoracicMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Pain::Chest PainMedical Subject Headings::Diseases::Respiratory Tract Diseases::Laryngeal Diseases::Voice Disorders::DysphoniaMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular ProceduresMedical Subject Headings::Diseases::Respiratory Tract Diseases::Laryngeal Diseases::Voice Disorders::HoarsenessMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::PrognosisMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::TomographyMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Ulcerresearch article26185346open access10.1590/0100-3984.2014.00290100-3984PMC4492572