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Ann Thorac Surg 2004;78:321-323
© 2004 The Society of Thoracic Surgeons

Case report

Nontraumatic localized dehiscence of the proximal ascending aorta through an aortic valve commissure

Andrew E. Newcomb, MBBSa*, Michael A. Rowland, FRACSa

a Department of Cardiothoracic Surgery, Alfred Hospital, Melbourne, Victoria, Australia

Accepted for publication April 14, 2003.

* Address reprint requests to Dr Newcomb, Department of Cardiothoracic Surgery, Alfred Hospital, Commercial Rd, Melbourne, Victoria 3004, Australia
e-mail: a.newcomb{at}alfred.org.au

Acute dissection of the ascending aorta is a life-threatening condition that requires timely recognition and management. Here we describe an unusual variant of acute dissection involving a localized tear in the proximal ascending aorta through the commissure of the left and noncoronary cusps of the aortic valve causing aortic regurgitation.




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