title: Circumferential dissection of the ascending aorta with intimal intussusception. Case report and review of the literature.
abstract: The present report describes an unusual case (apparently the 10th in the world literature) of a type-A aortic dissection with full circumferential detachment of the ascending aortic intima and intussusception thereof into the aortic arch and descending aorta, partly occluding the arch vessels. Computed tomographic scanning and 2-dimensional echocardiography failed to detect an intimal flap and a false lumen in the ascending aorta. Aortic dissection was visualized by aortography. The ascending aorta was surgically repaired and the aortic valve resuspended. The pertinent literature is reviewed.
authors.affiliation: Department of Cardiac Surgery, University of Genoa, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lijoi
authors.forename: F
authors.initials: F
authors.lastname: Scarano
authors.forename: C
authors.initials: C
authors.lastname: Canale
authors.forename: E
authors.initials: E
authors.lastname: Parodi
authors.forename: V
authors.initials: V
authors.lastname: Dottori
authors.forename: G C
authors.initials: GC
authors.lastname: Passerone
authors.forename: F
authors.initials: F
authors.lastname: Abbadessa
authors.forename: A
authors.initials: A
authors.lastname: Piccardo
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000453:epidemiology / Q000473:pathology*; D001011:Aorta / Q000473:pathology; D001014:Aortic Aneurysm / Q000453:epidemiology / Q000473:pathology*; D006801:Humans; D008297:Male; D017539:Tunica Intima / Q000473:pathology*