Scientific article
Case report

Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection

Published inCardiovascular surgery, vol. 11, no. 2, p. 173-175
Publication date2003

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.

  • Acute Disease
  • Aneurysm, Dissecting/diagnosis/pathology
  • Aortic Aneurysm/diagnosis/pathology
  • Echocardiography, Transesophageal
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed
  • Tunica Intima/radiography
Citation (ISO format)
ORRIT, Javier et al. Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection. In: Cardiovascular surgery, 2003, vol. 11, n° 2, p. 173–175. doi: 10.1016/S0967-2109(03)00003-6
Main files (1)
Article (Published version)
ISSN of the journal0967-2109

Technical informations

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