EuroPCR2025-images-A59133kp-Trapped in aorta

What do you see?
Rupture of Sinus of Valsalva
Coronary dissection
Severe paravalvular leakage
Correct! The correct answer is "Coronary dissection".
 
A 55-year-old woman with Type A IMH & Type B PAU underwent hemiarch repair, AVR, and TEVAR, but remained ECMO-dependent. Imaging revealed severe AR & RCA/LM occlusion from IMH. IVUS confirmed LM dissection, treated with PCI. A rare SINE case!
 
Good try! The correct answer is "Coronary dissection".
 
A 55-year-old woman with Type A IMH & Type B PAU underwent hemiarch repair, AVR, and TEVAR, but remained ECMO-dependent. Imaging revealed severe AR & RCA/LM occlusion from IMH. IVUS confirmed LM dissection, treated with PCI. A rare SINE case!
 
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