case_images: PMC7446551_01
case_images: Transesophageal echocardiogram showing the presence of a longitudinal flap (blue arrow) extending from the sino-tubular junction to the distal ascending aorta.
case_images: 10.1177_2050313X20940543-fig1.jpg
case_images: PMC7446551_01_10.1177_2050313X20940543-fig1.jpg
case_images: fig1-2050313X20940543
case_images: Twelve days into the third period of tMCS, an echocardiogram detected the presence of an ascending aortic intimal flap (Figure 1); type A aortic dissection was confirmed by an ECG-gated computerized tomographic (CT) aortogram (Figure 2).
case_images: CT image showing flap from the sino-tubular junction and extending through the arch to descending aorta and beyond, with no demonstrable communication between the two lumens.
case_images: 10.1177_2050313X20940543-fig2.jpg
case_images: PMC7446551_01_10.1177_2050313X20940543-fig2.jpg
case_images: fig2-2050313X20940543
case_images: Twelve days into the third period of tMCS, an echocardiogram detected the presence of an ascending aortic intimal flap (Figure 1); type A aortic dissection was confirmed by an ECG-gated computerized tomographic (CT) aortogram (Figure 2). On CT, an intimal flap extended from the ascending aorta (sino-tubular junction) around the arch, descending aorta, abdominal aorta, and both iliac arteries with no evidence of a communication between the true and false lumens (Figure 2).