title: DeBakey IIIb aortic dissection originating in a distal aortic arch aneurysm.
abstract: This report presents a case of DeBakey IIIb aortic dissection originating in a distal aortic arch fusiform aneurysm. The atherosclerotic change of the aneurysm was mild and the letter "C"-shaped intimal flap was turned over to obstruct the true lumen blood flow. A four-branched woven Dacron vascular prosthesis was implanted in a double barrel fashion. Although this case was successfully managed, an emergent operation should have been conducted.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Tokyo Disaster Medical Center, Tokyo, Japan.
authors.forename: Saeki
authors.initials: S
authors.lastname: Tsukamoto
authors.forename: Shoji
authors.initials: S
authors.lastname: Shindo
authors.forename: Masahiro
authors.initials: M
authors.lastname: Obana
authors.forename: Kenji
authors.initials: K
authors.lastname: Akiyama
authors.forename: Motomi
authors.initials: M
authors.lastname: Shiono
authors.forename: Nanao
authors.initials: N
authors.lastname: Negishi
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001672:Biocompatible Materials / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates