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Ann Thorac Surg 1999;68:1860-1863
© 1999 The Society of Thoracic Surgeons

Case Reports

Enlargement of ulcer-like projections after repair of acute type A aortic dissection

Tokuo Koshino, MDa, Kiyofumi Morishita, MD, PhDa, Yukihiko Tamiya, MDa, Johji Fukada, MDa, Tomio Abe, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Address reprint requests to Dr Koshino, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1 West 16, Chuo-ku, Sapporo 060-8543, Japan
e-mail: tokuo{at}serpent.cc.sapmed.ac.jp

We treated two cases of enlargement of ulcer-like projections in the descending thoracic aorta, which were recognized after emergency graft replacement from the ascending aorta to the aortic arch for acute type A aortic dissection. The intimal tear, which was near the left subclavian artery, was resected during the initial operation. Graft replacement of the descending thoracic aorta was successful.






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Copyright © 1999 by The Society of Thoracic Surgeons.