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Acute Descending Aortic Dissection Associated With Coarctation in Adult

Department of Thoracic Cardiovascular Surgery 1 Department of Cardiology Korea University Medical College Seoul, Korea
For reprint information contact: Sun Kyung, MD Tel: 82 2 920 5559 Fax: 82 2 927 3104 email: ksunmd{at}ns.kumc.or.kr Department of Thoracic and Cardiovascular Surgery, Korea University Medical College, 126-1 Anam-dong 5-ga, Sungbuk-gu, Seoul 136-705, Korea.

A 44-year-old man with congenital aortic coarctation experienced acute dissection that crossed the coarctation and extended to both iliac arteries. The primary entry of the dissection was proximal to the coarctation segment, just below the origin of the left subclavian artery. Surgical procedures involved resection of the diseased segment including the coarctation, and graft interposition.