case_images: PMC10787361_01
case_images: (A) Computed tomography angiography confirmed penetrating aortic ulcer in the aortic arch. (B) Digital subtraction angiography confirmed the diagnosis. (C) Design of the novel double inner-branched device. (D) Deployment of the stent-graft in the ascending aorta. (E) Confirmation of two inner branches with balloons. (F) Deployment of bridged covered stents in the innominate artery and left common carotid artery. (G) Deployment of the distal stent-graft. (H) Final angiography showed procedural success. (I) Computed tomography angiography was followed up for 6 months. PAU, penetrating aortic ulcer; IA, innominate artery; LCCA, left common carotid artery; SG, stent-graft.
case_images: ytae003f1.jpg
case_images: PMC10787361_01_ytae003f1.jpg
case_images: ytae003-F1
case_images: Then a novel modular double inner-branched stent-graft (Hangzhou Endonom Medtech Co., Ltd, Hangzhou, China; Panel C; Supplementary material online, Figure S1) was applied to repair the PAU and reconstruct the innominate artery (IA) and LCCA (Panels D-G; Supplementary material online, Video S1).