Stanford type A acute aortic dissection with congenital complete absence of the left pericardium; report of a case
Kuwata, T.; Fukuda, H.; Yoshitatsu, M.; Yamada, Y.; Shibasaki, I.; Inoue, Y.; Hori, T.; Ogawa, H.; Tsuchiya, G.; Shimizu, R.
Kyobu Geka. Japanese Journal of Thoracic Surgery 64(5): 406-409
2011
ISSN/ISBN: 0021-5252 PMID: 21591444 Document Number: 653327
A 52-year-old woman who presented with acute onset of chest pain was diagnosed with Stanford type A acute aortic dissection by computed tomography at another hospital. She was referred to our department for emergency surgery. The left pericardium visualized via a median sternotomy was clearly defective, and the left phrenic nerve was located ventral to the defect. The ascending aorta and total arch were replaced with an aortic valve and a prosthetic graft, respectively. Postoperative chest radiography excluded left phrenic nerve palsy. The postoperative course was uneventful and the patient was discharged on postoperative day 17.