Coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection: the role of 64-slice MDCT

K M Das; Sayed M Abdou; Ayman El-Menyar; A A Khulaifi; A L Nabti

doi:10.1111/j.1540-8191.2007.00557.x

Coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection: the role of 64-slice MDCT

J Card Surg. 2008 Sep-Oct;23(5):548-50. doi: 10.1111/j.1540-8191.2007.00557.x. Epub 2008 Mar 31.

Authors

K M Das¹, Sayed M Abdou, Ayman El-Menyar, A A Khulaifi, A L Nabti

Affiliation

¹ Department of Radiology, Hamad Medical Corporation, Doha, Qatar. [email protected]

PMID: 18384568
DOI: 10.1111/j.1540-8191.2007.00557.x

Abstract

A rare case of bilateral coronary artery dissection with rupture of aortic valve commissure following type A aortic dissection is described. 64-slice multidetector computed tomography (MDCT) was able to demonstrate both this findings along with involvement of other neck vessels. TEE demonstrated the severity and mechanisms of aortic valve damage and assisted the surgeon in valve repair. MDCT has played an invaluable role in the diagnosis of the abnormal details of such life-threatening vascular complications.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm, Thoracic / complications*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / pathology
Aortic Dissection / diagnosis*
Aortic Dissection / diagnostic imaging
Aortic Dissection / pathology
Aortic Rupture / diagnosis*
Aortic Rupture / diagnostic imaging
Aortic Rupture / etiology
Aortic Valve / diagnostic imaging
Aortic Valve / pathology*
Coronary Aneurysm / diagnosis*
Coronary Aneurysm / diagnostic imaging
Coronary Aneurysm / pathology
Echocardiography, Transesophageal
Fatal Outcome
Humans
Male
Middle Aged