DESCENDING AORTIC DISSECTION ORIGINATING FROM A JUXTADUCTAL TRAUMATICANEURYSM - TECHNICAL CONSIDERATIONS

A 65-year-old male presented with a descending aortic dissection. His past history was remarkable for severe blunt chest trauma 26 years pri or to presentation. Operative and pathologic findings included a postt raumatic pseudoaneurysm of the thoracic aorta and an aortic dissection that originated from the orifice of the pseudoaneurysm. The ductal fo vea, the mouth of the pseudoaneurysm, is an area that may be more susc eptible to accelerated atherosclerosis and the complications of athero sclerosis including aortic dissection.