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Title: Successful surgical treatment of acute type A aortic dissection complicated with distal arch aneurysm. Author: Nishimura K, Taniguchi I, Kimura A, Miyasaka S, Maeta H, Morimoto K. Journal: Ann Thorac Cardiovasc Surg; 2010 Oct; 16(5):370-2. PubMed ID: 21030929. Abstract: We report successful surgical treatment in a case of acute type A aortic dissection complicated with distal arch aneurysm. A 74-year-old man presenting with sudden posterior headache was found by enhanced computed tomography to have an ascending aortic dissection (type A) and a distal arch aneurysm of 69 mm in maximal minor axis diameter. We performed total arch replacement, employing a four-branched graft and elephant trunk anastomosis through a median sternotomy. Because the aneurysm was not effectively thrombo-excluded, we performed descending aorta replacement using the elephant trunk through the left fifth intercostal space on the 44th postoperative day. The postoperative course was uneventful.[Abstract] [Full Text] [Related] [New Search]