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Updated: Oct 19, 2025

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Intimal windsock following type A aortic dissection: An intussusception of severe implications
Kaushalendra Rathore1, Milena M Wilke1, Bharat Khialani2
1Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Background:
A patient has presented with type A aortic dissection and computed tomography aortogram revealed proximal and distal aorta intimointimal intussusception.
Material & Methods:
The patient has undergone successful aortic root replacement surgery and on the way to his recovery, he developed inferolateral myocardial infarction with the troponin I leak.
Results:
The coronary angiogram showed a small contrast leak around the left button with no luminal compromise.
Conclusion:
An intravascular ultrasound played a major part in the diagnosis of left main coronary artery compression due to the intramural hematoma. A drug-eluting stent was deployed to relieve the compression and to support the dissected layers of the coronary artery.
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