1962
DOI: 10.1016/0002-9610(62)90255-6
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Intimo-intimal intussusception in dissecting aneurysms

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Cited by 48 publications
(29 citation statements)
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“…The clinical presentation is influenced by the position of the intimal tube. The antegrade intussusceptum may occlude the great vessels partially or completely, resulting in neurologic findings and/or asymmetric pulses as in our first case [4][5][6][7]. The retrograde intussusceptum oscillates into the ascending aorta in systole and into the left ventricle in diastole (Figs.…”
Section: Discussionmentioning
confidence: 88%
“…The clinical presentation is influenced by the position of the intimal tube. The antegrade intussusceptum may occlude the great vessels partially or completely, resulting in neurologic findings and/or asymmetric pulses as in our first case [4][5][6][7]. The retrograde intussusceptum oscillates into the ascending aorta in systole and into the left ventricle in diastole (Figs.…”
Section: Discussionmentioning
confidence: 88%
“…They named this particular presentation of acute aortic dissection as “intimointimal intussusception”. [23] During diastole, the circumferentially dissected flap prolapses into the left ventricle outflow tract resulting in intermittent diastolic occlusion of the coronary ostia and aortic valve insufficiency:[2425] The length of the prolapsing intimal flap can influence the severity of coronary occlusion. Long prolapsing flaps reaching the middle of the left ventricle cavity can probably cause ischemia by completely blocking the coronary ostia during the diastole, while shorter ones can produce only their partial occlusion.…”
Section: Mechanism Of Coronary Malperfusion In Patients With Aortic Dmentioning
confidence: 99%
“…This mechanism was fi rst described by Hufnagel and Conrad in 1962 [ 7 ] and named intimo-intimal intussusception. The intussuscepted intima may cause a partial or complete and sudden obstruction of the aortic arch, causing neurologic symptoms varying from sudden loss of consciousness to various degrees of less pronounced neurologic symptoms a b c (Fig.…”
Section: Intimal Intussusception Of the Aortamentioning
confidence: 97%