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  • Title: Type A Aortic Dissection with Antegrade Intimointimal Intussusception.
    Author: Lannon C, Arunachalam P, El Nihum LI, Manian N, Telmesani A, Al Abri Q, Reardon MJ.
    Journal: Methodist Debakey Cardiovasc J; 2023; 19(1):26-31. PubMed ID: 37033107.
    Abstract:
    We describe a 60-year-old man with a history of hypertension who presented to an outside emergency department with chest pain and left lower extremity numbness and weakness. Computed tomography (CT) revealed Stanford type A aortic dissection (TAAD), and he was transferred to our institution for emergent open surgical repair. Review of the outside CT showed no dissection flap in the ascending aorta and a complex flap in the proximal descending thoracic aorta consistent with complex intimal transection at the sinotubular junction and intimointimal intussusception. This case presents high-resolution diagnostic and intraoperative images and illustrates the importance of rapid diagnosis and recognition of the potentially complex nature of the aortic dissection to avoid impending hemodynamic deterioration.
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