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Images in cardio-thoracic surgery

Aortic regurgitation and coronary malperfusion secondary to intimo-intimal intussusception into the left ventricle in acute aortic dissection

Division of Cardiovascular Surgery, Kobe University, 7-5-1 Kusunoki-cho, Chuuo-ku, Kobe, Hyogo, 650-0017, Japan

Received 8 January 2009; received in revised form 4 March 2009; accepted 10 March 2009.

^_* Corresponding author. Tel.: +80 783825942; fax: +80 783825959. (Email: naotofrcs@gmail.com).

Key Words: Coronary malperfusion • Aortic regurgitation • Intimo-intimal intussusception • Acute aortic dissection

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A 49-year-old Marfan male presented with acute aortic dissection complicated by aortic regurgitation and myocardial ischemia. The intimal flap of ascending aorta prolapsed through the aortic valve into the left ventricle (Figs. . . . [Full Text of this Article]