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Ann Thorac Surg 2012;93:1320. doi:10.1016/j.athoracsur.2011.09.066
© 2012 The Society of Thoracic Surgeons
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Images in Cardiothoracic Surgery

Triple-Barreled Aortic Dissection Developing Into Quadruple-Barreled Dissection

Eijun Sueyoshi, MDa,*, Hiroki Nagayama, MDa, Ichiro Sakamoto, MDa, Tsuneo Ariyoshi, MDb, Koji Hashizume, MDb, Kiyoyuki Eishi, MDb, Masataka Uetani, MDa

a Department of Radiology, Nagasaki University School of Medicine, Nagasaki, Japan
b Department of Cardiovascular Surgery, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan

* Address correspondence to Dr Sueyoshi, Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 85-8501, Japan (Email: sueyo@nagasaki-u.ac.jp).

The first 20% of the full text of this article appears below.

A 78-year-old previously healthy woman was admitted to our hospital with acute and oppressive chest pain. She had no history of Marfan syndrome. The patient had intubation and deep sedation at another emergency unit because of pain and severe agitation. Physical examination showed no murmur, desaturation, signs of pulmonary edema, or ST-segment depression.

Contrast-enhanced computed tomography images showed type . . . [Full Text of this Article]






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