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CC BY 4.0 · Aorta (Stamford) 2017; 05(03): 101-102
DOI: 10.12945/j.aorta.2017.16.048
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Left Ventricular Intussusception of an Intimal Flap in an Aortic Dissection Stanford Type A

Tim Kaufeld
1   Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Malakh Shrestha
1   Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Axel Haverich
1   Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Andreas Martens
1   Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
› Author Affiliations
Further Information

Publication History

27 July 2016

12 March 2017

Publication Date:
24 September 2018 (online)

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Abstract

A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima. An intussusception of the intima flap into the left ventricular outflow tract was also observed. This case presents a very rare surgical treatment involving root repair using tissue adhesives for a left ventricular intimal flap.

Key Words

Dissection - Aorta - Intimal flap - Intussusception