Coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection: the role of 64-slice MDCT.
A rare case of bilateral coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection is described. 64-slice multidetector computed tomography (MDCT) was able to demonstrate both this findings along with involvement of other neck vessels. TEE demonstrated the severity and mechanisms of aortic valve damage and assisted the surgeon in valve repair. MDCT has played an invaluable role in the diagnosis of the abnormal details of such life-threatening vascular complications.
Das
K M
KM
Department of Radiology, Hamad Medical Corporation, Doha, Qatar. daskmoy@gmail.com
Abdou
Sayed M
SM
El-Menyar
Ayman
A
Ayman
El Menyar
el M
Khulaifi
A A
AA
Nabti
A L
AL
D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D001019:Aortic Rupture / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged