Document Detail

Prolapse of aortic intimal flap into the left ventricle: a rare cause of global myocardial ischemia in acute type A aortic dissection.
MedLine Citation:
PMID:  16434818     Owner:  NLM     Status:  MEDLINE    
A 62-year-old woman experienced an acute type A aortic dissection complicated with profound shock caused by acute myocardial ischemia. Intraoperative transesophageal echocardiography (TEE) identified a circumferentially dissected intimal flap at 5.5 cm above the aortic valve, prolapsing into the left ventricle through the aortic valve during diastole and obstructing both coronary ostia. Acute aortic dissection must be kept in mind when presented with myocardial ischemia and TEE is the most useful method for detecting a prolapsing cylindrical intimal flap.
Yoichi Sato; Hirono Satokawa; Shinya Takase; Yukitoki Misawa; Hitoshi Yokoyama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  70     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-25     Completed Date:  2006-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  214-5     Citation Subset:  IM    
Department of Cardiovascular Surgery, Fukushima Medical University School of Medicine1 Hikarogaoka, Fukushima 960-1295, Japan.
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MeSH Terms
Aneurysm, Dissecting / complications,  surgery*,  ultrasonography
Aortic Aneurysm / complications,  surgery*,  ultrasonography
Cardiac Output, Low / etiology
Echocardiography, Transesophageal
Fatal Outcome
Heart Ventricles / pathology
Middle Aged
Myocardial Ischemia / complications,  surgery*,  ultrasonography
Shock / etiology

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