Conclusions
Subtle aortic dissection is rare and are invariably missed despite the
use of advanced imaging modalities. Our patient had suspected aortic
valve endocarditis (infective or non-infective) combined with a dilated
aortic root. Diagnosis was only made intra-operatively through
inspection and successfully treated with a Bentall procedure. Our case
along with the review of current literature emphasizes that current
imaging techniques may be inadequate for diagnosis of this rare variant
of aortic dissection.
Author contributions: DS: Conceptualization; Investigation;
Methodology; Writing - Original Draft; Writing-Review & Editing.SB,OJ,AH,EH,CR,CM: Conceptualization, Investigation;
Methodology; Writing-Review & Editing.