case_images: PMC11808746_01
case_images: Illustrates the admission CTA, revealing aortic dissection of Stanford type B. (a) The rupture was localized at the distal end of the left subclavian artery, with no involvement of the superior arch branch (b).. CTA: Computed tomography angiography.
case_images: 10.1177_2050313X251316985-fig1.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig1.jpg
case_images: fig1-2050313X251316985
case_images: The selected antihypertensive regimen included oral metoprolol sustained-release tablets (100 mg/day) and intravenous nicardipine infusion (initial dose 5 mg/h, increased by 2.5 mg/h every 15-30 min until the target blood pressure was achieved) (Figure 1).
case_images: Depicts the variations in early systolic blood pressure following admission.
case_images: 10.1177_2050313X251316985-fig2.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig2.jpg
case_images: fig2-2050313X251316985
case_images: Figure 2 illustrates the changes in blood pressure over time.
case_images: Displays scattered small, flaky, low-density shadows in the bilateral basal ganglia.
case_images: 10.1177_2050313X251316985-fig3.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig3.jpg
case_images: fig3-2050313X251316985
case_images: Emergency head CT and bedside color ultrasound were conducted to rule out aortic dissection and reverse tear, revealing scattered small, low-density shadows in both basal ganglia (Figure 3).
case_images: Illustrates intraoperative (a) and post-stent imaging (b), showcasing the successful isolation of the aortic rupture.
case_images: 10.1177_2050313X251316985-fig4.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig4.jpg
case_images: fig4-2050313X251316985
case_images: Under the strong request of the family, TEVAR surgery was performed (see Figure 4).
case_images: Presents a review of head CT (a) and computed tomography angiography (b and c).. CT: computed tomography.
case_images: 10.1177_2050313X251316985-fig5.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig5.jpg
case_images: fig5-2050313X251316985
case_images: Figure 5(a)). CTA results indicated narrowing of the right middle cerebral artery M segment and poor collateral circulation, accompanied by bilateral multiple cerebral infarctions and right middle cerebral artery stenosis (see Figure 5(b) and (c)). Following consultation with neurology experts, it was recommended to limit the treatment course of Argatroban to 7-10 days.
case_images: Illustrates the results of a 1-year follow-up (a and b), demonstrating no internal leakage or stent displacement.
case_images: 10.1177_2050313X251316985-fig6.jpg
case_images: PMC11808746_01_10.1177_2050313X251316985-fig6.jpg
case_images: fig6-2050313X251316985
case_images: The comparative CTA revealed the accurate deployment of the stent, with no signs of recurrence, internal leakage, or stent displacement (Figure 6).