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KMID : 0364019950280020188
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 2 p.188 ~ p.192
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Acute Type I Aortic Dissection Involving Right Coronary Artery
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Abstract
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A 50 year old man with acute aortic dissection DeBakey type I, involving right coronary artery and aortic valve, underwent replacement of the ascending aorta and aorto-right coronary bypass grafting. The operative findings showed a large
transverse
intimal tear was at about 4cm above the aortic valve. The dissection extended out into the proximal right coronary artery. And we found that the right coronary artery originated from the left sinus of Valsalva, run transversally in the aortic
wall,
with
partial rupture. Postoperatively he had no ischemic cardiac symptoms and neurologic complications.
He was discharged on postoperative 9th day with good result.
(Korean J Thoracic Cardiovas Surg 1995;28:188-92)
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KEYWORD
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