Left Ventricular Intussusception of an Intimal Flap in an Aortic Dissection Stanford Type A.

Axel Haverich,Andreas Martens,Tim Kaufeld,Malakh Shrestha

doi:10.12945/j.aorta.2017.16.048

Abstract

A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima. An intussusception of the intima flap into the left ventricular outflow tract was also observed. This case presents a very rare surgical treatment involving root repair using tissue adhesives for a left ventricular intimal flap.

Highlights

A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain
Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima
A 75-year-old woman was admitted to the emergency department with severe sudden chest pain, signs of malperfusion of the right arm, and left-sided hemiplegia

Summary

Introduction

Left Ventricular Intussusception of an Intimal Flap in an Aortic Dissection Stanford Type A Tim Kaufeld, MD*, Malakh Shrestha, MD, Axel Haverich, MD, Andreas Martens, MD A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima.

Results

Conclusion