case_images: PMC8182222_01
case_images: Preoperative reconstruction of contrast-enhanced angio-CT 3D showing the
  ascending aorta, aortic arch, and descending aorta dissection.
case_images: 10.1177_2050313X211021184-fig1.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig1.jpg
case_images: fig1-2050313X211021184
case_images: Three-dimensional (3D) computed tomography angiography (CTA) (Figure 1) revealed the presence of dissection flap starting on the ascending aorta, aortic arch, and descending aorta extended to the left iliac artery, with occlusion of the left common iliac artery (LCIA), the dissection flap was also extended on the SMA and left renal artery (LRA) (Figure 2).
case_images: Preoperative reconstruction of contrast-enhanced angio-CT 3D showing LCIA
  occlusion, SMA dissection, and LRA occlusion.. SMA: superior mesenteric artery; LCIA: left common iliac artery; LRA: left
  renal artery.
case_images: 10.1177_2050313X211021184-fig2.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig2.jpg
case_images: fig2-2050313X211021184
case_images: Three-dimensional (3D) computed tomography angiography (CTA) (Figure 1) revealed the presence of dissection flap starting on the ascending aorta, aortic arch, and descending aorta extended to the left iliac artery, with occlusion of the left common iliac artery (LCIA), the dissection flap was also extended on the SMA and left renal artery (LRA) (Figure 2).
case_images: Intraoperative view of complete replacement of the ascending aorta and aortic
  hemiarch with No. 30 INTERGARD Woven Vascular Graft.
case_images: 10.1177_2050313X211021184-fig3.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig3.jpg
case_images: fig3-2050313X211021184
case_images: We performed the ascending aorta and the proximal aortic arch replacement with a No. 30 INTERGARD Woven Vascular Graft (Figure 3).
case_images: Angiography with evidence of the SMA obstruction by dissection fold.. SMA: superior mesenteric artery.
case_images: 10.1177_2050313X211021184-fig4.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig4.jpg
case_images: fig4-2050313X211021184
case_images: The contrast agent was injected via the pigtail catheter, and it revealed a dissection flap on the first portion of SMA (Figure 4) with blood flow limitation and a dissection flap with occlusion on the left renal artery.
case_images: Postprocedural angiography of the SMA after stent placement stabilizes the
  dissection fold and improved peripheral blood flow.
case_images: 10.1177_2050313X211021184-fig5.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig5.jpg
case_images: fig5-2050313X211021184
case_images: The stent was carefully implanted at the ostium of the SMA, with minimal aortic protrusion (Figure 5).
case_images: Postoperative reconstruction of contrast-enhanced angio-CT 3D at 2 months
  follow-up showing the INTERGARD Woven Vascular Graft in the ascending aorta,
  the correct position of the stent and patency of the SMA as well as the
  restoration of normal blood flow in the LCIA.. SMA: superior mesenteric artery; LCIA: left common iliac artery.
case_images: 10.1177_2050313X211021184-fig6.jpg
case_images: PMC8182222_01_10.1177_2050313X211021184-fig6.jpg
case_images: fig6-2050313X211021184
case_images: Follow-up computed tomography (CT) examination at 2 months showed the correct position of the stent and patency of the SMA (Figure 6).