Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection
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 togethe...
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| Veröffentlicht in: | Cardiovascular surgery (London, England) England), 2003-04, Vol.11 (2), p.173-175 |
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| creator | Orrit, J Kalangos, A Trindade, P.T Christenson, J.T |
| description | 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. |
| doi_str_mv | 10.1016/S0967-2109(03)00003-6 |
| format | Article |
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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.</description><identifier>ISSN: 0967-2109</identifier><identifier>DOI: 10.1016/S0967-2109(03)00003-6</identifier><identifier>PMID: 12664055</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Acute Disease ; Aneurysm, Dissecting - diagnosis ; Aneurysm, Dissecting - pathology ; Aortic Aneurysm - diagnosis ; Aortic Aneurysm - pathology ; Echocardiography, Transesophageal ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Tunica Intima - diagnostic imaging</subject><ispartof>Cardiovascular surgery (London, England), 2003-04, Vol.11 (2), p.173-175</ispartof><rights>2003 The International Society for Cardiovascular Surgery</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-54e9d34d6c1399ba0b68b60fc0372c8c14ee2d7b912898cd7753708d8d4aea913</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12664055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Orrit, J</creatorcontrib><creatorcontrib>Kalangos, A</creatorcontrib><creatorcontrib>Trindade, P.T</creatorcontrib><creatorcontrib>Christenson, J.T</creatorcontrib><title>Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection</title><title>Cardiovascular surgery (London, England)</title><addtitle>Cardiovasc Surg</addtitle><description>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.</description><subject>Acute Disease</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - pathology</subject><subject>Aortic Aneurysm - diagnosis</subject><subject>Aortic Aneurysm - pathology</subject><subject>Echocardiography, Transesophageal</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tomography, X-Ray Computed</subject><subject>Tunica Intima - diagnostic imaging</subject><issn>0967-2109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLlOxDAQhl2A2GXhEUCuEBQBO06cmAatVlzSShRAbTn2RBjlwo5B-_Z4DwEd04z0zz_Xh9AJJZeUUH71TAQvkpQScU7YBYnBEr6Hpj_yBB16_06iV7DyAE1oynlG8nyK3hfW6dDW4KAbrWqwsd6DHm3f4S87vmEb5TbqMQfvg9cwrIvXWHU4dMGHWNPKA-5rrHQYAavejVbjcTUAnv-Zd4T2a9V4ON7lGXq9u31ZPCTLp_vHxXyZ6FSwMckzEIZlhmvKhKgUqXhZcVJrwopUl5pmAKkpKkHTUpTaFEXOClKa0mQKlKBshs62cwfXfwTwo2xtPLtpVAd98LJglPGUiGjMt0bteu8d1HJw8Ve3kpTINVi5ASvXBCVhcgNW8th3ulsQqhbMb9eOajTcbA0Q3_y04KTXFjoNxrrIQpre_rPiG5kZi9U</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>Orrit, J</creator><creator>Kalangos, A</creator><creator>Trindade, P.T</creator><creator>Christenson, J.T</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030401</creationdate><title>Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection</title><author>Orrit, J ; Kalangos, A ; Trindade, P.T ; Christenson, J.T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-54e9d34d6c1399ba0b68b60fc0372c8c14ee2d7b912898cd7753708d8d4aea913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute Disease</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - pathology</topic><topic>Aortic Aneurysm - diagnosis</topic><topic>Aortic Aneurysm - pathology</topic><topic>Echocardiography, Transesophageal</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Tomography, X-Ray Computed</topic><topic>Tunica Intima - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Orrit, J</creatorcontrib><creatorcontrib>Kalangos, A</creatorcontrib><creatorcontrib>Trindade, P.T</creatorcontrib><creatorcontrib>Christenson, J.T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular surgery (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orrit, J</au><au>Kalangos, A</au><au>Trindade, P.T</au><au>Christenson, J.T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection</atitle><jtitle>Cardiovascular surgery (London, England)</jtitle><addtitle>Cardiovasc Surg</addtitle><date>2003-04-01</date><risdate>2003</risdate><volume>11</volume><issue>2</issue><spage>173</spage><epage>175</epage><pages>173-175</pages><issn>0967-2109</issn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>12664055</pmid><doi>10.1016/S0967-2109(03)00003-6</doi><tpages>3</tpages></addata></record> |
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| ispartof | Cardiovascular surgery (London, England), 2003-04, Vol.11 (2), p.173-175 |
| issn | 0967-2109 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Acute Disease Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - pathology Aortic Aneurysm - diagnosis Aortic Aneurysm - pathology Echocardiography, Transesophageal Humans Male Middle Aged Tomography, X-Ray Computed Tunica Intima - diagnostic imaging |
| title | Circumferential dissection with intimal intussusception: an unusual case of acute aortic type A dissection |
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