Aortic arch plaque foci with intimal ulceration are usually more severe and carry the risk of further development of aortic coarctation or pseudoaneurysm, resulting in rupture, hemorrhage, and severe chest pain.
Aortic arch apex plaque foci with intimal ulceration is usually a more dangerous situation, because the atherosclerotic plaque in the aorta itself will cause damage to the intima of the aortic wall, and with the intimal ulceration, when the plaque ruptures, it will cause a rupture of the intima, which will further develop into aortic coarctation or pseudo aneurysm, and has the risk of rupture, causing massive hemorrhage, and even causing death in serious cases.
Generally, plaque foci with intimal ulceration at the apex of the aortic arch are mainly treated by surgery, especially in patients with large and deep ulcers. At the same time, active treatment is needed to address the cause of the disease, such as combining with hypertension to control blood pressure in the normal range, to avoid further progression of aortic arch ulcers; combining with hyperlipidemia need to take statins and other drugs to actively lower blood lipids treatment.
If patients have aortic arch apex plaque foci with intimal ulcers, it is recommended to go to the hospital in time and follow the doctor’s instructions.