Document Detail

Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection.
MedLine Citation:
PMID:  12664055     Owner:  NLM     Status:  MEDLINE    
An unusual case of a type-A aortic dissection with complete circumferential dissection just above the aortic valve with intimointimal intussuseption just distal to the left subclavian artery partially obstructing the descending aorta is described. CT-scan and transesophageal echocardiography together with clinical suspicion led to the correct diagnosis. Intimointimal intussusception is an unusual type of aortic dissection in which a proximal circumferential tear causes dissection with intussusception of the torn intima downstream, which could cause confusion about the appropriate diagnosis ([1]). It is a very infrequent complication of aortic dissection with only a few cases reported in the literature ([2-6]). CT scan and transesophageal echocardiography are the most accurate diagnostic tools ([7-9]). We describe a patient with intimointimal intussusception, diagnosed by CT scan and transesophageal echocardiography.
J Orrit; A Kalangos; P T Trindade; J T Christenson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  11     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-28     Completed Date:  2003-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  173-5     Citation Subset:  IM    
Clinic for Cardiovascular Surgery, University Hospital of Geneva, Switzerland.
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MeSH Terms
Acute Disease
Aneurysm, Dissecting / diagnosis*,  pathology
Aortic Aneurysm / diagnosis*,  pathology
Echocardiography, Transesophageal
Middle Aged
Tomography, X-Ray Computed
Tunica Intima / radiography

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