title: Spontaneous innominate and left common carotid artery dissection with bovine aortic arch.
abstract: We describe a case of a 63-year-old woman who presented with spontaneous dissection of the innominate and left common carotid arteries arising from a common trunk, so-called "bovine aortic arch." The entry tear was seen in the common trunk at the origin of the innominate artery with no dissection extending into the aortic arch or the ascending aorta. The dissection was resected and total arch replacement was performed considering the aortic wall fragility complicated by the dissection.
authors.affiliation: Department of Cardiovascular Surgery, Isesaki Municipal Hospital, 12-1 Tsunatori-honmachi, Isesaki, Gunma, 372-0812, Japan, ooki-ths@umin.ac.jp.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ohki
authors.forename: Tamiyuki
authors.initials: T
authors.lastname: Obayashi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Koyano
authors.forename: Kiyomitsu
authors.initials: K
authors.lastname: Yasuhara
authors.forename: Hanako
authors.initials: H
authors.lastname: Hirai
authors.forename: Kyouhei
authors.initials: K
authors.lastname: Hatori
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000473:pathology* / Q000601:surgery; D017536:Carotid Artery, Common / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D014057:Tomography, X-Ray Computed