Document Detail


Aortic hammer syndrome.
MedLine Citation:
PMID:  21861736     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Purpose: To present a case of penetrating aortic ulcer with extraordinary etiology. Case Report: A 57-year-old man was admitted with acute retrosternal and interscapular pain. He was a demolition worker and often used a pneumatic drill to which he pressed his chest as he drilled. Clinical examination showed previously undiagnosed hypertension. Computed tomographic angiography disclosed a penetrating aortic ulcer in the descending thoracic aorta without any sign of atherosclerosis. Initial treatment consisted of blood pressure control. However, due to progression of the lesion, endovascular treatment was performed to implant a covered endoprosthesis. Conclusion: We hypothesize that the etiology of the ulcer was the shear forces developed by incorrect, repetitive use of the pneumatic hammer in combination with the untreated hypertension. This is analogous to the hypothenar hammer syndrome, and we propose naming this the "aortic hammer syndrome."
Authors:
Niels Komen; Sven Vercauteren; Dominique de Roover
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  18     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  497-500     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Vascular Surgery, Ziekenhuis Netwerk Antwerpen (ZNA), Campus Middelheim, Antwerp, Belgium.
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