case_images: PMC8831715_01
case_images: Color Doppler echocardiography.
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case_images: F1
case_images: Color Doppler echocardiography revealed Stanford type A: Debakey I AD, aortic regurgitation, and massive pericardial effusion; the aortic root was widened to 50 mm in diameter (Figure 1). Computed tomography (CT) revealed a widened mediastinum, significant dilation of the posterior part of the aortic root (~58 mm at its widest point) extending up to the aortic arch.
case_images: Computed tomography (CT).
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case_images: PMC8831715_01_fcvm-08-816213-g0002.jpg
case_images: F2
case_images: There was blood flow through the breach from the true to the false lumen (Figures 2, 3).
case_images: Computed tomography (CT).
case_images: fcvm-08-816213-g0003.jpg
case_images: PMC8831715_01_fcvm-08-816213-g0003.jpg
case_images: F3
case_images: There was blood flow through the breach from the true to the false lumen (Figures 2, 3).
case_images: The huge aneurysm.
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case_images: F4
case_images: When the pericardium was opened, a large amount of hemorrhagic effusion was visible, and a huge aneurysm with a diameter of 5 x 4 cm could be seen in the posterior wall of the aortic root (Figure 4).
case_images: The intimal tears.
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case_images: F5
case_images: Two breaches, with diameters of 2 and 3 mm, were observed at the midpoint of the non-coronary sinus, which communicated with the aortic root aneurysm, and the surfaces of the breaches were rough with a few neoplasms visible (Figure 5).
case_images: The artificial vascular patch.
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case_images: PMC8831715_01_fcvm-08-816213-g0006.jpg
case_images: F6
case_images: We repaired the tear in the aorta with the artificial vascular patch (Figure 6).
case_images: Follow-up CT.
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case_images: F7
case_images: Follow-up CT 4 weeks after surgery showed that the false lumen had disappeared (Figure 7).