Intimal windsock following type A aortic dissection: An intussusception of severe implications.

BACKGROUND: A patient has presented with type A aortic dissection and computed tomography aortogram revealed proximal and distal aorta intimointimal intussusception. MATERIAL & METHODS: The patient has undergone successful aortic root replacement surgery and on the way to his recovery, he developed inferolateral myocardial infarction with the troponin I leak. RESULTS: The coronary angiogram showed a small contrast leak around the left button with no luminal compromise. CONCLUSION: An intravascular ultrasound played a major part in the diagnosis of left main coronary artery compression due to the intramural hematoma. A drug-eluting stent was deployed to relieve the compression and to support the dissected layers of the coronary artery.