• Thorac Cardiovasc Surg · Dec 2012

    Case Reports

    A rare pattern of acute type A aortic dissection: circumferential intimal invagination.

    • Konstantin von Aspern, Christian D Etz, Lukas Lehmkuhl, Friedrich W Mohr, and Pascal M Dohmen.
    • Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany. KONSTANTIN.VONASPERN@GOOGLEMAIL.COM
    • Thorac Cardiovasc Surg. 2012 Dec 1; 60 (8): 552-4.

    AbstractA 59-year-old patient with chest pain was transferred to our emergency unit. Computed tomography depicted a dissection membrane limited to the aortic root and a seemingly normal ascending aorta. Further downstream stenosis of the descending aorta appeared. Intraoperatively, complete intimal absence in the ascending aorta with intussusception into the descending aorta was evident. Ascending aortic and hemiarch replacement was performed. This rare case should raise the surgeons' awareness that preoperative imaging can differ considerably from intraoperative findings.Georg Thieme Verlag KG Stuttgart · New York.

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