title: Isolated dissecting aneurysm of the brachiocephalic artery associated with contained rupture.
abstract: A 79-year-old man with no history of trauma complained of a sudden onset of headache and backache. Computed tomography showed an isolated dissecting aneurysm 4 cm in diameter associated with contained rupture at the takeoff region of the brachiocephalic artery. Surgery was performed on an emergent basis. The proximal aortic arch was successfully replaced using antegrade selective cerebral perfusion. The patient was easily weaned from cardiopulmonary bypass and recovered uneventfully.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan. thirose500430@yahoo.co.jp
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Hirose
authors.forename: Nobuoki
authors.initials: N
authors.lastname: Tabayashi
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Takehisa
authors.initials: T
authors.lastname: Abe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Naito
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Hayata
authors.forename: Keigo
authors.initials: K
authors.lastname: Yamashita
authors.forename: Shigeki
authors.initials: S
authors.lastname: Taniguchi
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed