PMC4754272_01
(A) Transesophageal echocardiographic midesophageal long-axis images of the aortic valve showing the aneurysmal dilatation of the aortic root and ascending aorta and intimal dissection flap in the ascending aorta. Doppler color-flow imaging reveals severe aortic regurgitation caused by the outward tethering of the aortic valve cusps by aortic root dilatation. (B) Midesophageal short-axis view of the descending thoracic aorta shows an intimal dissection flap. This view confirms that the extent of this type A dissection is compatible with a DeBakey type 1 aortic dissection.
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F1
Technologies, Rockland, MA, USA). The intraoperative TEE revealed severe aortic regurgitation and intimal flap in the ascending aorta (Fig. 1).