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.