Anika L. Mirick, BA, Himanshu J. Patel, MD, G

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Presentation transcript:

Aortic Intussusception Complicating Diagnostic Angiography: Recognition and Management Anika L. Mirick, BA, Himanshu J. Patel, MD, G. Michael Deeb, MD, David M. Williams, MD The Annals of Thoracic Surgery Volume 95, Issue 5, Pages 1776-1778 (May 2013) DOI: 10.1016/j.athoracsur.2012.10.049 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Intravascular ultrasound images of the aorta. Baseline intravascular ultrasound (IVUS) near the celiac artery and (B) superior mesenteric artery show a contracted true lumen [T] anterior to the larger false lumen [F]. (C) Intravascular ultrasound after intussusception shows a new whorled, hyperechoic mass (arrow) consistent with folded, compressed intimal flap. (D) The true lumen and origin of the superior mesenteric artery are occluded. (E) After fenestration and supramesenteric stenting of the true lumen, the true lumen has re-expanded and normal perfusion pressures were restored. (C = celiac artery, S = superior mesenteric artery.) The Annals of Thoracic Surgery 2013 95, 1776-1778DOI: (10.1016/j.athoracsur.2012.10.049) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Sagittal computed tomography at 2 weeks shows a self-expanding stent extending to the celiac origin. The narrowing in the proximal descending aorta was not hemodynamically significant. Between the top of the stent and the arrow, no true lumen was present. The Annals of Thoracic Surgery 2013 95, 1776-1778DOI: (10.1016/j.athoracsur.2012.10.049) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions