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.