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Acute type A aortic dissection surgery in retrosternal gastric tube reconstruction patient.

Nutthawadee LuangthongShin YamamotoSusumu OshimaTomohiro HirokamiKensuke Ozaki
Published in: Asian cardiovascular & thoracic annals (2023)
A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.
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