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Successful Treatment of Painless Type A Aortic Dissection without any Major Concomitant Symptoms

Yasunori Iida, Tsutomu Ito, Sachiko Hayashi, Tatsuo Takahashi, Takahiko Misumi

Painless aortic dissection is a relatively rare pathology. We report the case of painless type A aortic dissection without any concomitant symptoms such as congestive heart failure, cardiac ischemia, stroke, or paraplegia. The patient underwent total arch replacement with selective cerebral perfusion under deep hypothermic .circulatory arrest The postoperative course was uneventful and the patient was discharged with no complications. This case shows that a high index of suspicion and cooperation between the hospital and the referring clinic are crucial in making a definitive diagnosis of painless type A aortic dissection and in achieving successful surgical treatment.