title: Circumferential type A aortic dissection with intimal intussusception.
abstract: A 62-year-old man was admitted to our hospital with sudden chest pain. CT examination showed the presence of an intimal flap in the aortic root and in the descending aorta, with no intimal flap in the ascending aorta and curvilinear filling defects in the aortic arch, and extension into the left subclavian artery. Surgical treatment consisted of ascending aorta replacement. During the operation, the intimal tear was found to be circumferential with intussusception of the intimal layer. The patient died at surgery.
authors.affiliation: Department of Radiodiagnóstico, Hospital Reina Sofía, Carretera Tarazona, Km 3, Tudela 31500, Navarra, Spain. Electronic address: raquel_sanchez_oro@hotmail.com.
authors.forename: Raquel
authors.initials: R
authors.lastname: Sanchez Oro
authors.affiliation: Department of Radiodiagnóstico, Hospital Reina Sofía, Carretera Tarazona, Km 3, Tudela 31500, Navarra, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Ibáñez Muñoz
authors.affiliation: Department of Radiodiagnóstico, Hospital Reina Sofía, Carretera Tarazona, Km 3, Tudela 31500, Navarra, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Salceda Artola
authors.affiliation: Department of Radiodiagnóstico, Hospital Reina Sofía, Carretera Tarazona, Km 3, Tudela 31500, Navarra, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Quintana Martínez
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography
keywords: Circumferential dissection; Computed tomography; Intimal intussusception; Stanford type A aortic dissection