Abstract
The present report describes an unusual case (apparently the 10th in the world literature) of a type-A aortic dissection with full circumferential detachment of the ascending aortic intima and intussusception thereof into the aortic arch and descending aorta, partly occluding the arch vessels. Computed tomographic scanning and 2-dimensional echocardiography failed to detect an intimal flap and a false lumen in the ascending aorta. Aortic dissection was visualized by aortography. The ascending aorta was surgically repaired and the aortic valve resuspended. The pertinent literature is reviewed.
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- DeBakey M. E., Lawrie G. Intimal intussusception: unusual complication of dissecting aneurysm. J Vasc Surg. 1984 Jul;1(4):566–568. [PubMed] [Google Scholar]
- HUFNAGEL C. A., CONRAD P. W. Intimo-intimal intussusception in dissecting aneurysms. Am J Surg. 1962 Jun;103:727–731. doi: 10.1016/0002-9610(62)90255-6. [DOI] [PubMed] [Google Scholar]
- Kastan D. J., Sharma R. P., Keith F., Shetty P. C., Burke M. W. Intimo-intimal intussusception: an unusual presentation of aortic dissection. AJR Am J Roentgenol. 1988 Sep;151(3):603–604. doi: 10.2214/ajr.151.3.603. [DOI] [PubMed] [Google Scholar]
- Liotta D., Hallman G. L., Milam J. D., Cooley D. A. Surgical treatment of acute dissecting aneurysm of the ascending aorta. Ann Thorac Surg. 1971 Dec;12(6):582–592. doi: 10.1016/s0003-4975(10)64794-7. [DOI] [PubMed] [Google Scholar]
- Lourié J. K., Appelbe A., Martin R. P. Detection of complex intimal flaps in aortic dissection by transesophageal echocardiography. Am J Cardiol. 1992 May 15;69(16):1361–1363. doi: 10.1016/0002-9149(92)91237-x. [DOI] [PubMed] [Google Scholar]
- Reitknecht F. L., Bhayana J. N., Lajos T. Z. Circumferential intimal tear causing obstruction of the aortic arch: an unusual complication of aortic dissection. Ann Thorac Surg. 1988 Jul;46(1):100–101. doi: 10.1016/s0003-4975(10)65864-x. [DOI] [PubMed] [Google Scholar]
- Symbas P. N., Kelly T. F., Vlasis S. E., Drucker M. H., Arensberg D. Intimo-intimal intussusception and other unusual manifestations of aortic dissection. J Thorac Cardiovasc Surg. 1980 Jun;79(6):926–932. [PubMed] [Google Scholar]
- Wheat M. W., Jr Acute dissecting aneurysms of the aorta: diagnosis and treatment--1979. Am Heart J. 1980 Mar;99(3):373–387. doi: 10.1016/0002-8703(80)90353-1. [DOI] [PubMed] [Google Scholar]
- Wilbers C. R., Carrol C. L., Hnilica M. A. Optimal diagnostic imaging of aortic dissection. Tex Heart Inst J. 1990;17(4):271–278. [PMC free article] [PubMed] [Google Scholar]