Severe aortic regurgitation with intimal intussusception secondary to Debakey type I aortic dissection

Echocardiography. 2020 Apr;37(4):652-653. doi: 10.1111/echo.14640. Epub 2020 Apr 23.

Abstract

Aortic regurgitation (AR) with intimal intussusception, secondary to aortic dissection, is relatively rare and the images are interesting findings. We report a typical case of severe AR with intimal intussusception, secondary to DeBakey type I aortic dissection, detected by contrast-enhanced computed tomography (CECT) and transesophageal echocardiography (TEE). Since there are three types of aortic regurgitation with aortic dissection, it is imperative to consider the most appropriate intervention for AR. The combination of CECT, TEE, and surgical findings may play an important role in determining the optimum surgical procedure for AR with aortic dissection.

Keywords: aortic dissection; aortic regurgitation; intimal intussusception.

MeSH terms

  • Aortic Dissection* / complications
  • Aortic Dissection* / diagnostic imaging
  • Aortic Valve Insufficiency* / diagnostic imaging
  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / surgery
  • Echocardiography, Transesophageal
  • Humans
  • Intussusception*
  • Tunica Intima / diagnostic imaging