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Thorac Cardiovasc Surg 2012; 60(08): 552-554
DOI: 10.1055/s-0032-1322615
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Rare Pattern of Acute Type A Aortic Dissection: Circumferential Intimal Invagination

Konstantin von Aspern
1   Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany
,
Christian D. Etz
1   Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany
2   Department of Cardiac Surgery, Mount Sinai School of Medicine, New York, United States
,
Lukas Lehmkuhl
3   Department of Diagnostic and Interventional Radiology, Heart Centre Leipzig, Leipzig, Saxony, Germany
,
Friedrich W. Mohr
1   Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany
,
Pascal M. Dohmen
1   Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany
› Author Affiliations
Further Information

Publication History

27 February 2012

20 March 2012

Publication Date:
09 November 2012 (online)

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Abstract

A 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.

Keywords

acute aortic dissection - complete circumferential intimal intussusception - NIRS - aortic intimal invagination
 

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