Intimal intussusception: Unusual complication of dissecting aneurysm

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Presentation transcript:

Intimal intussusception: Unusual complication of dissecting aneurysm Michael E. DeBakey, M.D., Gerald Lawrie, M.D. Journal of Vascular Surgery Volume 1, Issue 4, Pages 566-568 (July 1984) DOI: 10.1016/0741-5214(84)90044-2 Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Top right: Preoperative arteriogram shows a filling defect in dome of aorta with absence of left common carotid and left subclavian arteries. Findings at operation (top left) consisted in detachment of intima from ascending aorta with intussusception of intimal tube into distal aortic arch producing obstruction of left common carotid and left subclavian arteries. Bottom right: Post-operative arteriogram shows good appearance of graft with normal filling of great vessels. There is still evidence of unresected dissection of innominate artery. Journal of Vascular Surgery 1984 1, 566-568DOI: (10.1016/0741-5214(84)90044-2) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Curve of patient's intraoperative rectal temperature illustrating changes in temperature during cooling, circulatory arrest of great vessels, and rewarming. Journal of Vascular Surgery 1984 1, 566-568DOI: (10.1016/0741-5214(84)90044-2) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions