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Aortic regurgitation secondary to back-and-forth intimal flap movement of acute type A dissection

Annals of thoracic and cardiovascular surgery, 2004-02, Vol.10 (1), p.54-56

ISSN: 1341-1098 ;EISSN: 2186-1005 ;PMID: 15008702

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Title:
Aortic regurgitation secondary to back-and-forth intimal flap movement of acute type A dissection
Author: Nohara, Hideaki ; Shida, Tsutomu ; Mukohara, Nobuhiko ; Nakagiri, Keitarou ; Matsumori, Masamichi ; Ogawa, Kyoichi
Subjects: Acute Disease ; Aortic Rupture - diagnosis ; Aortic Rupture - physiopathology ; Aortic Rupture - surgery ; Aortic Valve Insufficiency - diagnosis ; Aortic Valve Insufficiency - etiology ; Aortic Valve Insufficiency - surgery ; Humans ; Male ; Middle Aged ; Tunica Intima - physiopathology ; Ventricular Outflow Obstruction - diagnosis ; Ventricular Outflow Obstruction - physiopathology ; Ventricular Outflow Obstruction - surgery
Is Part Of: Annals of thoracic and cardiovascular surgery, 2004-02, Vol.10 (1), p.54-56
Description: We present an unusual case of acute type A dissection complicated with severe aortic valve insufficiency caused by prolapse of the tubular intimal flap into the left ventricular outflow tract, which was shown legibly by transesophageal echocardiography in the diastolic phase and by intraoperative macroscopic findings. The dissected ascending aorta was excised completely and replaced without any repairing of the aortic valve, resulting in a favorable outcome for the patient. Prolapse of an intimal flap from the aorta into the left ventricle represented a rare pathophysiology of aortic regurgitation in patients with aortic dissection.
Publisher: Japan
Language: English
Identifier: ISSN: 1341-1098
EISSN: 2186-1005
PMID: 15008702
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection
Freely Accessible Japanese Titles

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Aortic regurgitation secondary to back-and-forth intimal flap movement of acute type A dissection

ISSN: 1341-1098 ;EISSN: 2186-1005 ;PMID: 15008702

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