Penetrating atherosclerotic ulcer at the proximal aorta complicated with cardiac tamponade and aortic valve regurgitation

A 56-year-old man bad a penetrating atherosclerotic ulcer originating in th e proximal ascending aorta, which is an unusual case of penetrating aortic ulcer complicated with the aortic valve regurgitation and cardiac tamponade . This hemodynamically unstable patient was successfully treated by conserv ative management to control his blood pressure and was also monitored close ly with follow-up imaging studies.