case_images: PMC10507167_01
case_images: Follow up examination of aortic CTA.
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case_images: F1
case_images: TAAD with proximal occlusion of the brachiocephalic trunk artery due to obvious compression of the false lumen (Figures 1A,B). The patient had no obvious symptoms or clinical manifestations of cerebral ischemia before surgery, and CTA, computed tomographic perfusion (CTP), and transcranial Doppler (TCD) examinations of the cerebral arteries showed that the cerebral ring was intact with good collateral circulation.
case_images: The aortic angiography showed that the dissecting aneurysm in the greater curvature of the aortic arch was formed.
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case_images: PMC10507167_01_fcvm-10-1242124-g002.jpg
case_images: F2
case_images: The aortic angiography showed a dissecting aneurysm in the greater curvature of the aortic arch, involving the innominate artery, the right common carotid artery, and the right subclavian artery (Figure 2A). The thoracic aortic dissection was completely isolated by covered stents, and contrast media could be seen in the innominate artery, right common carotid artery, right subclavian artery, left common carotid artery, and left subclavian artery (Figure 2B).
case_images: Aortography was performed at six months post-operative follow-up.
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case_images: PMC10507167_01_fcvm-10-1242124-g003.jpg
case_images: F3
case_images: CT angiography showed blood vessels in good condition (Figure 3).