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KMID : 0364019910240050522
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 5 p.522 ~ p.528
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Surgical Treatment of Aortic Dissection(DeBakey type Ⅲa)
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Abstract
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A successful repair of aortic dissection of descending thoracic aorta was performed in a 48 year old man. The patient was visited ER because of abruptly onset chest pain. On admission, Chest film showed mediastinal widening and undertaken chest CT, echocardiogram and angiogram. There was evidence of dilation on descending aorta with internal seperation of intimal calcification. Aneurysmal sac with dissection was noted from just below left subclavina artery to 2cm. above of diaphragm. He underwent thoracotomy and the impending ruptured aneurysm of the aorta was replaced with a Woven Dacron graft(20% Albumin preclotted) using LA-femoral bypass. Postoperative course was uneventful.
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