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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 1998 December;39(6):743-6
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
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.