Two cases of digestive hemorrhage, produced by aortic perforation, with a fissure originated in an ateroma plate, are discussed in this paper.In one of the -cases the fistula was aortoesophageal and in the other aorto-duodenal. These accidents are very serious and aregenerally recognized in the post mortem examination; however suspicion of their existence might lead to diagnosis while the patient is still alive, since onset of hemorrhages is rarely fulminating, and fatal cases are preceded by several repeated hemorrhages.

Se presentan dos casos de hemorragia digestiva provocados por perforación de aorta, fisurada a partir de una placa de ateroma.En uno de ellos la fístula era aortoesofágica y en el otro aortoduodenal. Se trata de una complicación muy grave, que generalmente se reconoce en la autopsia, pero que si se aprende a sospechar pudiera diagnosticarse aun en vida, dado que las hemorragias no son generalmentefulminantes de entrada, sino precedidas por varias hemorragias repetidas