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Eur J Cardiothorac Surg 2008;34:671. doi:10.1016/j.ejcts.2008.05.054
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Images in cardio-thoracic surgery

Chronic type A dissection of the ascending aorta

René Quadena,*, Tim Hümmeb, Jochen Cremera, Aziz Rahimia

a Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 7, D-24105 Kiel, Germany
b Department of Radiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany

Received 7 April 2008; accepted 26 May 2008.

* Corresponding author. Tel.: +49 431 597 4581; fax: +49 431 597 4402. (Email: Rene.Quaden{at}uksh-kiel.de).

Key Words: Type A dissection • Chronic • CT • Cardiac surgery

A chronic type A dissection was observed in a 56-year-old woman during a diagnostic CT imaging (Fig. 1A–C). Typical pain occurred more than 5 years ago. Intraoperatively, a pale thrombus was found and removed (Fig. 1D–E). The operation was successfully performed and the patient was discharged after 10 days.


Figure 1
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Fig. 1. (A) A 64-line CT-scan showing the chronic type A dissection (*) of the ascending aorta. ((a) 75 mm; (b) 40 mm: (c) 30 mm; PA: pulmonary artery; AV: aortic valve; RV: right ventricle; LV: left ventricle). (B) 3D reconstruction of the ascending aorta. (C) Intraoperative situs with the aneurysm (*). (D) A pale thrombus has been removed from the aneurysm (**). (E) Huge pale thrombus after removal (73 mm x 40 mm).

 





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Right arrow Cardiac - other
Right arrow Great vessels


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