{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:48:19Z","timestamp":1762868899055,"version":"3.38.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,4,1]],"date-time":"2003-04-01T00:00:00Z","timestamp":1049155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:p> An unusual case of a type-A aortic dissection with complete circumferential dissection just above the aortic valve with intimointimal intussuseption just distal to the left subclavian artery partially obstructing the descending aorta is described. CT-scan and transesophageal echocardiography together with clinical suspicion led to the correct diagnosis. <\/jats:p><jats:p> Intimointimal intussusception is an unusual type of aortic dissection in which a proximal circumferential tear causes dissection with intussusception of the torn intima downstream, which could cause confusion about the appropriate diagnosis [1]. It is a very infrequent complication of aortic dissection with only a few cases reported in the literature [2\u20136]. CT scan and transesophageal echocardiography are the most accurate diagnostic tools [7\u20139]. We describe a patient with intimointimal intussusception, diagnosed by CT scan and transesophageal echocardiography. <\/jats:p>","DOI":"10.1177\/096721090301100212","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T13:06:55Z","timestamp":1663074415000},"page":"173-175","source":"Crossref","is-referenced-by-count":2,"title":["Circumferential Dissection with Intimal Intussusception: An Unusual Case of Acute Aortic Type A Dissection"],"prefix":"10.1177","volume":"11","author":[{"given":"J.","family":"Orrit","sequence":"first","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kalangos","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. T.","family":"Trindade","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology, University Hospital of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. T.","family":"Christenson","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,4,1]]},"reference":[{"key":"bibr1-096721090301100212","first-page":"166","volume":"21","author":"Lijoi A.","year":"1994","journal-title":"Circumferential dissection of the ascending aorta with intimal intussusception"},{"key":"bibr2-096721090301100212","first-page":"566","volume":"1","author":"Bebakey M. E.","year":"1984","journal-title":"Intimal intussusception: Unusual complication of dissecting aneurysm"},{"key":"bibr3-096721090301100212","first-page":"100","volume":"46","author":"Reitknecht F. L.","year":"1988","journal-title":"Circumferential intimal tear causing obstruction of the aortic arch: An unusual complication of aortic dissection"},{"key":"bibr4-096721090301100212","first-page":"385","volume":"34","author":"Ravolo G.","year":"1993","journal-title":"Aortic intussusception: A rare presentation of type A aortic dissection evidenced by transesophageal echocardiography"},{"key":"bibr5-096721090301100212","first-page":"603","volume":"151","author":"Kastan D. J.","year":"1988","journal-title":"Intimo-intimal intussusception: An unusual presentation of aortic dissection"},{"key":"bibr6-096721090301100212","first-page":"926","volume":"79","author":"Symbas P. N.","year":"1980","journal-title":"Intimo-intimal intussusception and other unusual manifestations of aortic dissection"},{"key":"bibr7-096721090301100212","first-page":"813","volume":"162","author":"Nelsen K. M.","year":"1994","journal-title":"Intimointimal Intussusception in aortic dissection: Ct diagnosis"},{"key":"bibr8-096721090301100212","first-page":"692","volume":"22","author":"Karabulut N.","year":"1998","journal-title":"CT diagnosis of an unusual aortic dissection with intimointimal intussusception: The wind sock sign"},{"key":"bibr9-096721090301100212","first-page":"82","volume":"7","author":"Eichelberger J. P.","year":"1994","journal-title":"Aortic dissection without intimal tear: Case report and findings on transesophageal echocardiography"},{"key":"bibr10-096721090301100212","first-page":"727","volume":"103","author":"Hufnagel C. A.","year":"1962","journal-title":"Intimointimal intussusception in dissecting aneurysms"}],"container-title":["Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721090301100212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721090301100212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T09:50:12Z","timestamp":1740822612000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/096721090301100212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,4]]}},"alternative-id":["10.1177\/096721090301100212"],"URL":"https:\/\/doi.org\/10.1177\/096721090301100212","relation":{},"ISSN":["0967-2109"],"issn-type":[{"type":"print","value":"0967-2109"}],"subject":[],"published":{"date-parts":[[2003,4]]}}}