title: [Stanford type A acute aortic dissection with congenital complete absence of the left pericardium; report of a case].
abstract: 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.
authors: Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Tochigi, Japan.
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authors: Kuwata
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authors: Fukuda
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authors: Yoshitatsu
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authors: Yamada
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authors: Shibasaki
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authors: Inoue
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authors: Hori
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authors: Ogawa
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authors: Tsuchiya
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authors: Shimizu