Article

Stanford type A aortic dissection with intimal intussusception.

Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, 3256 Midori-cho, Tachikawa, Tokyo 190-0014, Japan.
General Thoracic and Cardiovascular Surgery 05/2012; 60(9):578-80. DOI: 10.1007/s11748-012-0051-1
Source: PubMed

ABSTRACT A 51-year-old man presented with acute chest pain and loss of consciousness. Computed tomography showed no intimal flap in the ascending aorta and clear dissection involving the aortic root and arch, as well as the descending aorta. At surgery, the intimal tear was found to be circumferential and dissection extended to the proximal aortic arch with intussusception of the intimal layer. Emergency graft replacement of the ascending aorta was performed successfully and his postoperative course was uneventful.

1 Follower
 · 
225 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Intimal intussusception is an uncommon variation of aortic dissection, resulting from circumferential detachment and stripping of the intima in the setting of a Stanford type A dissection. The resultant tube of detached intima may prolapse either antegrade into the aortic lumen or retrograde into the left ventricular cavity. We classify these forms of dissection as antegrade and retrograde Stanford type A intimal intussusception. We present two cases with intimal intussusception and a review of the current literature. The majority of previous cases have been reported in the cardiology and cardiothoracic surgical literature, with few previous radiological reports.
    The International Journal of Cardiovascular Imaging 11/2007; 23(5):659-65. DOI:10.1007/s10554-006-9182-8 · 2.32 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A 33-year-old hypertensive man presented with epigastric pain radiating to the back. Transoesophageal echocardiography (TOE) revealed an intimal flap on the aortic arch and descending aorta. No intimal flap of the ascending aorta was detected on TOE or CT. The diagnosis was made on opening the ascending aorta: complete circumferential dissection of the ascending aorta flush with the coronary ostia, with no residual intimal flap, and intimo-intimal glove-finger intussusception of the internal channel into the descending thoracic aorta. Aortic intussusception is a very rare form of Type I dissection, and the absence of intimal tear in the ascending aorta can be misleading and delay the diagnosis.
    European Journal of Cardio-Thoracic Surgery 02/2003; 23(1):119-21. · 2.81 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A case is reported of a 65-year-old man operated on to relieve obstruction of the left common carotid and left subclavian arteries due to a dissecting aneurysm. At operation the obstruction was found to be due to detachment of the intima from the ascending aorta followed by intussusception into the distal aortic arch. Surgical correction consisted in resection of the ascending aorta and aortic arch and replacement with a Dacron graft. Certain technical aspects of the operation were considered important in achieving a successful outcome.
    Journal of Vascular Surgery 08/1984; 1(4):566-8. DOI:10.1067/mva.1984.avs0010566 · 2.98 Impact Factor