case_images: PMC4857313_01
case_images: Computed tomography scans and operative findings. (a) and (b) Computed tomography scan on admission to our hospital: the proximal side of the stent graft (arrow) is dislocated and floating inside the aneurysm. (c) Operative findings: a Dacron graft was anastomosed to the proximal aorta and to the stent graft distally. To suture the device, the proximal flare was removed and the margin was reinforced with a strip of Teflon felt (arrows). (d) Computed tomography shows an increase in size to 94 mm 2 years after the operation with a faint onion skin pattern enhancement (asterisk).
case_images: 10.1177_2050313X14565422-fig1.jpg
case_images: PMC4857313_01_10.1177_2050313X14565422-fig1.jpg
case_images: fig1-2050313X14565422
case_images: On admission to our hospital, computed tomography (CT) scanning showed that the proximal end of the stent graft was dislocated inside the descending aortic aneurysm, which had enlarged to a diameter of 80 mm, suggesting impending rupture (Figure 1(a) and (b)).
case_images: Computed tomography scans obtained before and after initial TEVAR. (a) and (b) Preoperative scans (sagittal and coronal planes) demonstrate the proximal neck of the aneurysm. (c) and (d) Follow-up scans obtained after TEVAR. There is no endoleak. The proximal landing of the stent graft shows no problems at this time.
case_images: 10.1177_2050313X14565422-fig2.jpg
case_images: PMC4857313_01_10.1177_2050313X14565422-fig2.jpg
case_images: fig2-2050313X14565422
case_images: We subsequently obtained these CT scans performed before and after initial TEVAR (Figure 2).