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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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

lingua: Inglese

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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