Berdajs, Denis

Ferrari, Enrico

Niclauss, Lars

von Segesser, Ludwig Karl

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www.elsevier.com/locate/ejctsracic Surgery 40 (2011) 531European Journal of Cardio-thoImages in cardio-thoracic surgeryIntussusception-like phenomenon in acute type A aortic dissectionEnrico Ferrari *, Denis Berdajs, Lars Niclauss, Ludwig Karl von SegesserDepartment of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), CH-1011, Lausanne, SwitzerlandReceived 12 October 2010; received in revised form 24 November 2010; accepted 26 November 2010; Available online 15 January 2011Keywords: Type A aortic dissection; Aortic valve; EmergencyA 66-year-old man was hospitalized with signs of type Adissection and unstable conditions. The computed-tomogra-phy scan confirmed the diagnosis and, in the operatingtheater, a transesophageal echocardiogram showed an[()TD$FIG]Fig. 1. The transesophageal echocardiogram performed intraoperatively shows a raaortic wall into the lumen of the valve. This rare event was confirmed in the surgical fieaorta. The sequence (from the left to right), represents one diastole.* Corresponding author. Address: Department of Cardiovascular Surgery,Centre Hoˆpitalier Universitaire Vaudois (CHUV), 46, rue du Bugnon, CH-1011 Lausanne, Switzerland. Tel.: +41 79 310 1386; fax: +41 21 314 2278.E-mail addresses: enrico.ferrari@hospvd.ch, enricoferrari@bluewin.ch(E. Ferrari).1010-7940/$ — see front matter # 2010 European Association for Cardio-Thoracicdoi:10.1016/j.ejcts.2010.11.052unexpected intussusception-like phenomenon: the intimaof the ascending aorta prolapsed into the valve (see Fig. 1 andVideos 1 and 2). A Bentall procedure was performedsuccessfully.re and unexpected phenomenon of intussusceptions of the intima layer of theld: the type A dissection was circumferential and involved the entire ascendingAppendix A. Supplementary dataSupplementary data associated with this article (Video 1 and Video 2) canbe found, in the online version, at doi:10.1016/j.ejcts.2010.11.052.Surgery. Published by Elsevier B.V. All rights reserved.

Intussusception-like phenomenon in acute type A aortic dissection

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