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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Computed Tomography | Case report

Stanford type A acute aortic dissection with proximal intimo-intimal intussusception: a case report and literature review

Authors: Hao Pan, Wei Sun

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Acute aortic circumferential dissection with proximal intimo-intimal intussusception is a rare and potentially lethal occurrence. We here report a case and review previous works to better understand this particular condition and help surgeons to determine accurate diagnosis and optimal intervention strategies by intraoperative transesophageal echocardiography (TEE).

Case presentation

We report a case of a 46-year-old male who complained of sudden substernal chest pain. Stanford type A acute aortic dissection with proximal intimo-intimal intussusception was confirmed by contrast-enhanced computed tomography (CECT), transthoracic echocardiography (TTE), and TEE. We found the intimal flap prolapsed into the left ventricle outflow tract (LVOT), which caused severe aortic regurgitation (AR) and obstructed the ostia of the coronary arteries. Given the preexisting aneurysmal dilatation of aortic sinus and severity of aortic root and arch dissection, Bentall procedure and Sun’s procedure were performed for our patient.

Conclusions

Intraoperative TEE used by anesthesiologists here played an increasingly valuable role in the determination of acute aortic dissection. Hence, it is necessary that TEE screening is routinely performed in patients with acute aortic dissection to provide valuable information for facilitating surgical strategies.

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Title: Stanford type A acute aortic dissection with proximal intimo-intimal intussusception: a case report and literature review
Authors: Hao Pan
Wei Sun
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Computed Tomography
Transthoracic Echocardiography
Transesophageal Echocardiography
Computed Tomography
Aortic Dissection
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01581-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stanford type A acute aortic dissection with proximal intimo-intimal intussusception: a case report and literature review

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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