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a Division of Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School, Chiba, Japan
b Division of Cardiology, Hepatology, Geriatrics, and Integrated Medicine, and Department of Internal Medicine, Nippon Medical School, Tokyo, Japan
* Address correspondence to Dr Akutsu, Department of Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School, 1715 Kamagari, Inbamura, Inbagun, Chiba 270-1694, Japan (Email: koichi-a@nms.ac.jp).
| The first 20% of the full text of this article appears below. |
A 56-year-old man with chest pain had a type A aortic dissection that involved the anatomic area spanning the proximal parts of the brachiocephalic trunks to a point just distal to the superior mesenteric artery, with thrombosis in the false lumen. An ulcerlike projection was observed at the proximal descending aorta, which seemed to be the initiation point of the dissection.
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