case_images: PMC6441505_01
case_images: Preoperative chest CT showing type B aortic dissection from the origin of the left subclavian artery.
case_images: CRIS2019-7927613.001.jpg
case_images: PMC6441505_01_CRIS2019-7927613.001.jpg
case_images: fig1
case_images: There was no other evidence of vascular dissection or occlusion below the level of the renal arteries (Figures 1 and 2).
case_images: Preoperative virtual 3D CT angiogram of the aorta showing the separate origin of the left vertebral artery from the aortic arch.
case_images: CRIS2019-7927613.002.jpg
case_images: PMC6441505_01_CRIS2019-7927613.002.jpg
case_images: fig2
case_images: There was no other evidence of vascular dissection or occlusion below the level of the renal arteries (Figures 1 and 2).
case_images: Intraoperative angiogram after stent placement.
case_images: CRIS2019-7927613.003.jpg
case_images: PMC6441505_01_CRIS2019-7927613.003.jpg
case_images: fig3
case_images: The patient underwent general anesthesia for thoracic endovascular repair (TEVAR) two days after his first day of admission; the procedure was done through the right femoral approach; an angiogram was performed intraoperatively (Figure 3).
case_images: Postoperative axial CT angiography.
case_images: CRIS2019-7927613.004.jpg
case_images: PMC6441505_01_CRIS2019-7927613.004.jpg
case_images: fig4
case_images: We evaluated patient's prognosis by following up for 3 to 6 months for a chest X-ray, CTA, and CT aorta 3D reconstruction (Figures 4 and 5) which confirmed no endovascular leak as well as no ischemic or stroke signs in the clinical follow-up; we assessed the patency of the subclavian arteries by examining the bilateral upper arms' blood supply in addition to radial arteries by evaluating the pulses with no evidence of morbidity.
case_images: Postoperative CT aorta 3D reconstruction posterior view showing Kommerell's diverticulum (1), patent right aberrant subclavian artery (2), left subclavian artery (3), and a stent inside the descending aorta (4).
case_images: CRIS2019-7927613.005.jpg
case_images: PMC6441505_01_CRIS2019-7927613.005.jpg
case_images: fig5
case_images: We evaluated patient's prognosis by following up for 3 to 6 months for a chest X-ray, CTA, and CT aorta 3D reconstruction (Figures 4 and 5) which confirmed no endovascular leak as well as no ischemic or stroke signs in the clinical follow-up; we assessed the patency of the subclavian arteries by examining the bilateral upper arms' blood supply in addition to radial arteries by evaluating the pulses with no evidence of morbidity.