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General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 7, pp 637–639 | Cite as

A case of type A acute aortic dissection with a common carotid trunk

  • Yuki IkenoEmail author
  • Masamichi Matsumori
  • Koki Yokawa
  • Soichiro Henmi
  • Hidekazu Nakai
  • Takashi Matsueda
  • Katsuhiro Yamanaka
  • Takeshi Inoue
  • Hiroshi Tanaka
  • Yutaka Okita
Case Report

Abstract

We present a rare case of common carotid artery with acute type A aortic dissection. A 72-year-old woman underwent emergent aortic arch repair using Antegrade selective cerebral protection. Bottom-tapped cannulae were inserted into three orifices of arch vessels, however, regional cerebral oxygen saturation decreased after rewarming. We found that arch branches were in order from front to back, right subclavian artery, common carotid trunk, and left subcravian artery. The patient complicated stroke in the right middle cerebral artery.

Keywords

Aortic arch anomaly Vascular ring Acute type A dissection Aortic arch repair 

Notes

Compliance with ethical standards

Conflict of interest

Yuki Ikeno has no conflict of interest; Masamichi Matsumori has no conflict of interest. Koki Yokawa has no conflict of interest. Soichiro Henmi has no conflict of interest. Hidekazu Nakai has no conflict of interest. Takashi Matsueda has no conflict of interest. Katsuhiro Yamanaka has no conflict of interest. Takeshi Inoue has no conflict of interest. Hiroshi Tanaka has no conflict of interest. Yutaka Okita has no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 46452 KB)

References

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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Yuki Ikeno
    • 1
    • 2
    Email author
  • Masamichi Matsumori
    • 1
  • Koki Yokawa
    • 1
  • Soichiro Henmi
    • 1
  • Hidekazu Nakai
    • 1
  • Takashi Matsueda
    • 1
  • Katsuhiro Yamanaka
    • 1
  • Takeshi Inoue
    • 1
  • Hiroshi Tanaka
    • 1
  • Yutaka Okita
    • 1
  1. 1.Department of Cardiovascular SurgeryKobe UniversityKobeJapan
  2. 2.Division of Cardiovascular Surgery, Department of SurgeryKobe University Graduate School of MedicineKobeJapan

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