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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 CARDIAC PAPERS
The Journal of Cardiovascular Surgery 1999 February;40(1):117-9
Type A aortic dissection involving a right-sided aortic arch
Moizumi Y., Komatsu T., Nagaya K., Sawamura Y., Sakurai M., Tabayashi K.
From the Division of Thoracic and Cardiovascular Surgery Sendai City Medical Center and Tohoku University School of Medicine, Sendai, Japan
We report a rare case of a 39-year-old man with type A aortic dissection involving a right-sided aortic arch with the symptom of vascular ring. Computed tomography scanning and angiography were performed to define the extent of the dissection and the anatomy of the branching vessels. The ascending aorta was replaced through a median sternotomy and right thoracotomy using a hypothermic cardiopulmonary bypass associated with selective cerebral perfusion and partial circulatory arrest, and his symptom of vascular ring disappeared postoperatively.