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Received January 10, 2018; revised manuscript received January 30, 2018; accepted February 12, 2018; released online March 9, 2018 Time for primary review: 13 days Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan Mailing address: Atsushi Sugiura, PhD, Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan. E-mail: asugiura@chiba-u.jp ISSN-1346-9843 All rights are reserved to the Japanese Circulation Society. For permissions, please e-mail: cj@j-circ.or.jp Aortic Dissection Resulting in Simultaneous Bilateral Coronary Invasion via Different Mechanisms on Intravascular Ultrasonography