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Bidirectional Circumferential Intimo-Intimal Intussusception

Imaging findings

Aortic dissection flap folding back or extending into the right common carotid artery, causing occlusion.

Key takeaways

These can be longitudinal tears (like a "fruit roll-up") rather than purely circumferential; they are critical causes of stroke in the setting of aortic dissection.

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