Intimal Intussusception in Aortic Dissection and Coexisting Coronary Artery Disease

Kiziltan H. T., Tiras M., Idem A., Camsari R., Toktas S., Bozkurt A.

ANNALS OF THORACIC SURGERY, vol.97, no.2, pp.698-700, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 97 Issue: 2
  • Publication Date: 2014
  • Doi Number: 10.1016/j.athoracsur.2013.05.110
  • Journal Name: ANNALS OF THORACIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.698-700
  • Çukurova University Affiliated: No

Abstract

Intimal tear is rarely circumferential in aortic dissection. In such an instance, intimal intussusception may occur. This exposes the patient to the additional risk of severe aortic regurgitation, blockage of the left main coronary artery ostium, or both in proximal intimal intussusception in ascending aortic dissection. Here we present a 61-year-old patient with ascending aortic dissection, aortic regurgitation caused by an intussuscepted proximal intimal flap, and coexisting coronary artery disease. The presenting symptoms and electrocardiographic findings simulated an acute coronary syndrome. Among other diagnostic measures, only transesophageal echocardiography clearly defined the pathologic condition. The patient underwent a successful aortic root replacement and coronary artery bypass grafting. (C) 2014 by The Society of Thoracic Surgeons