title: A rare pattern of acute type A aortic dissection: circumferential intimal invagination.
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.
authors.affiliation: Department of Cardiac Surgery, Heart Centre Leipzig, Leipzig, Saxony, Germany. KONSTANTIN.VONASPERN@GOOGLEMAIL.COM
authors.forename: Konstantin
authors.initials: K
authors.lastname: von Aspern
authors.forename: Christian D
authors.initials: CD
authors.lastname: Etz
authors.forename: Lukas
authors.initials: L
authors.lastname: Lehmkuhl
authors.forename: Friedrich W
authors.initials: FW
authors.lastname: Mohr
authors.forename: Pascal M
authors.initials: PM
authors.lastname: Dohmen
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D001027:Aortography / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation; D057210:Delayed Diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome