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Images in cardiology
Acute discrete dissection of the ascending aorta
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  • Published on: 23 November 2015
    Acute discrete dissection of the ascending aorta
    • Fabio Chirillo, Cardiologist
    • Other Contributors:
      • Loris Salvador, Francesco Bacchion

    We thank Dr Breithardt 1 for his interest in our paper reporting a case of discrete dissection of the ascending aorta 2. In the transoesophageal echocardiographic image published Dr Breithardt has interpreted the presence of a hazy horizontal line located approximately in the middle of the aortic lumen as an intimal flap dividing the aorta into an anterior false lumen and a posterior false lumen suggesting the presence...

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    Conflict of Interest:
    None declared.
  • Published on: 23 November 2015
    Discrete dissection or overt intimal flap?

    Dear Editor,

    I am puzzled by the image published by Chirillo et al.(1) which supposedly shows a "discrete aortic dissection", but - according to the authors - no intimal flap.

    My interpretation of the provided image would be that the hazy horizontal line which runs through the middle of the aorta most likely represents a typical intimal flap separating a true lumen (lower part) from the false lumen (w...

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    Conflict of Interest:
    None declared.