Two-dimensional echocardiographic recognition of an aortic intimal flap prolapsing into the left ventricular outflow tract

A 59 year old man presented with dyspnea and a new murmur of aortic regurgitation. Two-dimensional echocardiography demonstrated a to and fro motion of the intimal flap as it prolapsed into the left ventricle and was thrust into the aorta during diastole and systole, respectively. At surgery, the ec...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 1984-07, Vol.4 (1), p.180-182
Main Authors: SINGH SRAOW, J, DESSER, K. B, BENCHIMOL, A, DESÁNETO, A, PEEBLES, S
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Aorta, Thoracic
Aortic Aneurysm - complications
Aortic Aneurysm - diagnosis
Aortic Valve Insufficiency - diagnosis
Aortic Valve Insufficiency - etiology
Aortic Valve Insufficiency - physiopathology
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the aorta
Echocardiography
Humans
Male
Medical sciences
Middle Aged
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Summary:A 59 year old man presented with dyspnea and a new murmur of aortic regurgitation. Two-dimensional echocardiography demonstrated a to and fro motion of the intimal flap as it prolapsed into the left ventricle and was thrust into the aorta during diastole and systole, respectively. At surgery, the echocardiographic and angiographic findings were confirmed and a proximal aortic dissection was identified. Prolapse of an intimal flap from the aorta into the left ventricular outflow tract represents a new two-dimensional echocardiographic sign of aortic dissection.
ISSN:0735-1097
1558-3597