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Acute type A aortic dissection mimicking a congenital supravalvular aortic membrane  Ioannis Dimarakis, MRCS, Rashmi Yadav, FRCS, Sandeep Bahia, MBBS,

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Presentation on theme: "Acute type A aortic dissection mimicking a congenital supravalvular aortic membrane  Ioannis Dimarakis, MRCS, Rashmi Yadav, FRCS, Sandeep Bahia, MBBS,"— Presentation transcript:

1 Acute type A aortic dissection mimicking a congenital supravalvular aortic membrane 
Ioannis Dimarakis, MRCS, Rashmi Yadav, FRCS, Sandeep Bahia, MBBS, Christoph Juli, FRCR, Nicola Strickland, FRCP, FRCR, Raffi Kaprielian, MRCP, Jonathan Anderson, FRCS(CTh)  The Journal of Thoracic and Cardiovascular Surgery  Volume 134, Issue 5, Pages e1 (November 2007) DOI: /j.jtcvs Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Cardiac magnetic resonance images. A, Coronal image through the aortic outflow tract showing a circumferential membrane (filled arrows) seen to arise at a 90° angle from the wall of the aortic root 2.1 cm distal to the aortic valve. The very mobile medial part of this membrane was obstructing blood flow directly superior to the aortic valve (open arrow). B, Aortic root, with maximum dilatation of 5.4 cm. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative photographs. A, View of the circumferential intimal tear (filled arrows) after aortotomy. B, The tricuspid aortic valve may be seen below the tear (open arrow). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

4 Figure E1 Intraoperative photographs. A, Aneurysmatic dilatation of the proximal ascending aorta (Ao); clear demarcation may be seen between affected and nonaffected aorta (white line). B, The size 25 Carbo-Seal composite graft (CarboMedics, Austin, Tex) in position. LV, Left ventricle. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

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