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Circumferential Stanford Type A Acute Aortic Dissection with Proximal Intimo-Intimal Intussusception: A Case Report
Masato Hayakawa1, Atsushi Tashiro2, Yuka Higuma3
1Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Okinawa, Japan.
The American Journal of Case Reports
|April 19, 2025
Summary
A rare circumferential acute aortic dissection complicated by intimo-intimal intussusception led to shock in a 76-year-old woman. Swift transport and immediate surgery are crucial for managing this fatal condition.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Diseases
Background:
- Circumferential acute aortic dissection is a rare and fatal condition.
- Stanford type A acute aortic dissection with intimo-intimal intussusception is presented.
- A 76-year-old woman with no significant medical history presented with thoracic symptoms.
Purpose of the Study:
- To present a surgical case of Stanford type A acute aortic dissection with intimo-intimal intussusception.
- To highlight the importance of rapid transport and surgical intervention in complex aortic dissections.
Main Methods:
- Contrast-enhanced computed tomography (CT) for diagnosis.
- Transesophageal echocardiography (TEE) for intraoperative assessment.
- Surgical repair involving ascending aortic replacement and Bio-Glue application to the sinus of Valsalva.
Main Results:
- Stanford type A acute aortic dissection with intimo-intimal intussusception was diagnosed.
- The patient developed shock and decreased consciousness during transport.
- Successful surgical repair of the ascending aorta was performed.
Conclusions:
- Intimo-intimal intussusception can rapidly progress, leading to shock in acute aortic dissection.
- Prioritizing swift patient transportation is essential.
- Immediate surgical intervention is critical for favorable outcomes in such cases.
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