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Ann Thorac Surg 2003;76:948
© 2003 The Society of Thoracic Surgeons
a Departments of Cardiac Surgery, Santiago de Compostela, Spain
b Cardiology, Santiago de Compostela, Spain
c Anesthesiology, University Hospital, Santiago de Compostela, Spain
* Address reprint requests to Dr Fernández, Department of Cardiac Surgery, University Hospital, Ave Choupana, S/N, 15706 Santiago de Compostela, Spain
e-mail: alfg@inicia.es
| The first 20% of the full text of this article appears below. |
A 47-year-old man with
a history of hypertension was admitted to the emergency room because of prolonged acute retrosternal pain radiating to the back and a transient episode of left hemiparesis. A thoracic computed tomographic scan demonstrated an aortic dissection of the ascending aorta and aortic arch. A transthoracic echocardiogram showed a normal systolic function with a hypertrophic left ventricle and a significant pericardial effusion.
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