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Thorac Cardiovasc Surg 2012; 60(08): 552-554
DOI: 10.1055/s-0032-1322615
DOI: 10.1055/s-0032-1322615
Case Report
A Rare Pattern of Acute Type A Aortic Dissection: Circumferential Intimal Invagination
Further Information
Publication History
27 February 2012
20 March 2012
Publication Date:
09 November 2012 (online)
![](https://www.thieme-connect.de/media/thoracic/201208/lookinside/thumbnails/10.1055-s-0032-1322615-1.jpg)
Abstract
A 59-year-old patient with chest pain was transferred to our emergency unit. Computed tomography depicted a dissection membrane limited to the aortic root and a seemingly normal ascending aorta. Further downstream stenosis of the descending aorta appeared. Intraoperatively, complete intimal absence in the ascending aorta with intussusception into the descending aorta was evident. Ascending aortic and hemiarch replacement was performed. This rare case should raise the surgeons' awareness that preoperative imaging can differ considerably from intraoperative findings.
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