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Author Namboodiri, Narayanan ♦ Krishnamoorthy, K. M.
Source Sree Chitra Tirunal Institute for Medical Sciences & Technology
Content type Text
Publisher European Journal of Echocardiography : The Journal of The Working Group On Echocardiography of The European Society of Cardiology
File Format PDF
Language English
Subject Domain (in DDC) Technology ♦ Medicine & health ♦ Diseases
Subject Domain (in MeSH) Cardiovascular Diseases ♦ Diseases
Subject Keyword Cardiology
Abstract A 48-year-old hypertensive male presented with acute retrosternal pain and aortic regurgitation. The electrocardiogram showed ST-segment depression with T-wave inversion in anterolateral leads. Transesophageal echocardiography in long axis view of aorta revealed a spiral intimal flap in ascending aorta extending to the arch, diagnostic of Type A aortic dissection. The short axis view of the aorta showed partial obstruction of the left main coronary artery (LMCA) by the intimal flap with turbulent flow at its ostium. An emergency repair of aortic dissection with reconstruction of aortic wall was done. Postoperative period and ECG were normal. At 12-months of follow up, patient was doing well.
Education Level UG and PG
Learning Resource Type Article
Educational Framework Medical Council of India (MCI)
Journal European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology
Volume Number 9
Issue Number 1
Page Count 100
Starting Page 40
Ending Page 139