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European Journal of Echocardiography 2005 6(4):311-312; doi:10.1016/j.euje.2004.11.005
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Copyright © 2004, The European Society of Cardiology

Aortic dissection with diastolic prolapse of intimal flap into left ventricle

Bilal Geyik*, Ozcan Ozeke, Cemal Ozbakir, Bulent Deveci and Dursun Aras

Department of Cardiology, Yuksek Ihtisas Hospital, 06100 Ankara, Turkey

Received 11 September 2004; received in revised form 15 November 2004; accepted after revision 28 November 2004.

* Corresponding author. Tel.: +90 532 468 58 59. E-mail: bilalgeyik@hotmail.com


  Abstract

Ascending aortic dissection is often a catastrophic condition. Dissection into the commissures or into an aortic valve leaflet may lead to leaflet avulsion and valvular insufficiency due to a flail valve. We present an image report describing an important and life-threatening complication due to the movement of a partially dehisced intimal aortic flap into the left ventricle causing aortic valve insufficiency in a patient with acute dissection of the ascending aorta.

Keywords: Aortic dissection


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