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Type A Aortic Dissection with Antegrade Intimointimal Intussusception Cover

Type A Aortic Dissection with Antegrade Intimointimal Intussusception

Open Access
|Apr 2023

Figures & Tables

Figure 1

Aortic root dissection. Sagittal (A), coronal (B), and transverse (C) computed tomography showing dissection flap in the aortic root (arrow). Three-dimensional reconstructed computed tomography is provided (D).

Figure 2

Supra-aortic vessel dissection. Sagittal (A) and transverse (B) computed tomography showing brachiocephalic artery dissection (red arrow) and near complete occlusion of the right common carotid artery (blue arrow) due to thrombosis of the false lumen. Dissection of the right subclavian artery (green arrow) is also seen.

Figure 3

Aortic arch dissection. Sagittal (A), coronal (B), and transverse (C) computed tomography showing complex dissection flap at the level of the aortic arch (arrow). Three-dimensional reconstructed computed tomography is provided (D).

Video 1

Surgical video of the intussuscepted intima being grasped within the distal arch/descending aorta and rolled back on itself for realignment; see also at https://youtube.com/shorts/f4mnD3ucmgY.

DOI: https://doi.org/10.14797/mdcvj.1210 | Journal eISSN: 1947-6108
Language: English
Page range: 26 - 31
Submitted on: Jan 24, 2023
Accepted on: Feb 28, 2023
Published on: Apr 5, 2023
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2023 Christine Lannon, Priya Arunachalam, Lamees I. El Nihum, Nina Manian, Amr Telmesani, Qasim Al Abri, Michael J. Reardon, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.