Intimal windsock following type A aortic dissection: An intussusception of severe implications

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.

Automated summary

The patient developed inferolateral myocardial infarction after successful aortic root replacement surgery, with a small contrast leak around the left button seen on coronary angiogram. Intravascular ultrasound played a major role in diagnosing left main coronary artery compression due to intramural hematoma, and a drug-eluting stent was deployed for treatment.