eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2011
vol. 8
 
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abstract:

Very rare case of type A acute aortic dissection

Bartłomiej Perek
,
Robert Juszkat
,
Maciej Frankiewicz
,
Marek Jemielity

Kardiochirurgia i Torakochirurgia Polska 2011; 8 (1): 49–51
Online publish date: 2011/04/13
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We describe a case of 46-year old man with very rare appearance of acute ascending aortic dissection. Computed tomography an­giography (CT angio) revealed aortic dissection limited to a short proximal ascending aortic segment with ‘apparently’ nor­mal aortic wall in the distal ascending aorta as well as proximal aortic arch, multiform flap of the aortic media within the distal arch and completely normal farther segments of the thoracic and abdominal aorta. Intraoperatively, a circular complete rupture of the aortic media two-three centimeters above aortic valve was noted. Apparently normal aortic wall of the distal ascending aorta and proximal aortic arch in CT scans was found to be an adventitia with few external layers of the dissected media. Intima and media of the distal ascending aorta was intussuscepted into aortic arch. Vascular prosthesis was implanted into ascending aorta and aortic arch in deep hypothermic circulatory arrest. Postoperative course was uneventful.
keywords:

acute aortic dissection, intussusception, computed tomography, surgery
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