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Updated: Feb 11, 2026

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Dissection flap masquerading as double aortic valve: an acquired complication.

Bhagya Narayan Pandit1, Richa Agrawal1, Tarun Kumar1

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|April 19, 2018
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Summary

Chronic aortic dissection is rare and can present unusually. This case highlights a 40-year-old female with chronic aortic dissection mimicking a functional double aortic valve, a highly uncommon presentation.

Keywords:
hypertensionvalvar diseases

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Area of Science:

  • Cardiovascular Medicine
  • Diagnostic Imaging
  • Aortic Diseases

Background:

  • Aortic dissection typically manifests as an acute medical emergency.
  • Chronic aortic dissection is less common and presents diagnostic challenges.
  • Echocardiography is crucial for visualizing aortic dissection features like flaps and regurgitation.

Observation:

  • A 40-year-old female presented with symptoms suggestive of a cardiac anomaly.
  • Initial assessments revealed findings consistent with chronic aortic dissection.
  • The patient's condition mimicked a functional double aortic valve.

Findings:

  • The case describes an extremely rare presentation of chronic aortic dissection.
  • Diagnostic imaging confirmed the aortic dissection flap and associated aortic regurgitation.
  • The chronic dissection functionally presented as a double aortic valve.

Implications:

  • This case expands the understanding of atypical presentations of aortic dissection.
  • It emphasizes the importance of comprehensive echocardiographic evaluation in complex cardiac cases.
  • Clinicians should consider rare differential diagnoses in patients with unusual cardiac findings.