Intimo-intimal intussusception is an infrequent manifestation of acute aortic dissection in which the intimal tear occurs circumferentially with intussusception of the ascending aortic intima downstream. Certain diagnostic tools may be inadequate to confirm the diagnosis. Here, we report such a case with a review of the pertinent Iiterature. Neurologic presentation associated with severe aortic regurgitation must raise the probability of aortic dissection complicated with intimal intussusception.
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