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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 December;39(6):743-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Dissecting aortic aneurysm involving an anomalous right subclavian artery and isolated left vertebral artery. Case report and review of the literature

Nonami Y., Tomosawa N., Nishida K., Nawata S.

From the Department of Surgery II Kochi Medialc School, Kochi Department of Cardiac Surgery, Ehime Rosai Hospital Ehime, Japan


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A 54 -year-­old hyper­ten­sive wom­an ­was admit­ted ­with ­severe inter­scap­u­lar ­back ­pain. A ­chest radio­graph ­showed ­marked wid­en­ing of ­the med­i­as­ti­num. Aortography dem­on­strat­ed a DeBakey ­type ­III, a tho­rac­ic aor­tic dis­sec­tion ­and an anom­a­lous ­right sub­cla­vian ­artery ­which ­was asso­ciat­ed ­with an iso­lat­ed ­left ver­te­bral ­artery. The ­patient under­went aor­tic ­arch replace­ment ­with 5 branch­es ­and ­made an unevent­ful recov­ery. As ­far as we ­can deter­mine, ­this is ­the ­first report­ed occur­rence of ­these anom­a­lies togeth­er ­with ­acquired dis­ease of ­the aor­ta.

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