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KMID : 0364019940270121036
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 12 p.1036 ~ p.1041
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Aortic Dissection with Aberrant Origin of Single Coronary Artery -Report of 1 Case-
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Abstract
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Emergency operation was performed in a patient with severe aortic insufficiency caused by type A acute aortic dissection with aberrant high take-off origin of single coronary artery. The single coronary artery was found to arise from an unusual
position
high in the ascending aorta. Dissection was begun in the aortic root and involved the single coronary ostium. Valve competance was restored by resuspension of the commissures. The false lumen was obliterated with strips of Teflon felt and
surgical
glue.
The aortic tissues were firmly reinforced and sutured. The proximal aortic stump was anatomically reconstructed, and fortunately the aortic valve was preserved and coronary reimplantation avoided. The patient was discharged ar postoperative 13
days
without specific complications. Postoperative course during the 18 months follow-up was uneventful. (Korean J Thoracic Cardiovas Surg 1994; 27:1036-41)
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KEYWORD
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