case_images: PMC5028720_01
case_images: AngioCT showing Stanford type B aortic dissection.
case_images: fcvm-03-00032-g001.jpg
case_images: PMC5028720_01_fcvm-03-00032-g001.jpg
case_images: F1
case_images: AngioCT revealed an acute Stanford type B aortic dissection, extending from the proximal descending thoracic aorta (distal to the origin of the left subclavian artery) to the iliac arteries (Figure 1).
case_images: AngioCT showing type Ia endoleak after the TEVAR procedure.
case_images: fcvm-03-00032-g002.jpg
case_images: PMC5028720_01_fcvm-03-00032-g002.jpg
case_images: F2
case_images: After the procedure, the patient was asymptomatic. AngioCT after the procedure showed occlusion of the left subclavian artery and an endoleak at the proximal graft attachment site - type Ia endoleak (Figure 2).
case_images: AngioCT showing the increase in type Ia endoleak dimension (arrows).
case_images: fcvm-03-00032-g003.jpg
case_images: PMC5028720_01_fcvm-03-00032-g003.jpg
case_images: F3
case_images: AngioCT showed an increase in endoleak dimension at the level of the transition between the aortic arch and the proximal descending aorta (Figure 3).
case_images: Final position of the prosthesis. White arrows: self-expandable stents at the brachiocephalic trunk and left common carotid artery, placed between aortic wall and aortic endoprosthesis. Black arrow: proximal entry site of the endoleak. Arrow head: proximal landing zone of the aortic endoprosthesis.
case_images: fcvm-03-00032-g004.jpg
case_images: PMC5028720_01_fcvm-03-00032-g004.jpg
case_images: F4
case_images: Proximal landing zone of the endoprosthesis was set proximal to the origin of the brachiocephalic trunk (dimension 43 mm x 47 mm), covering the brachiocephalic trunk and left common carotid artery, which would be then perfused by deployment of self-expandable stents, placed between the endoprosthesis and the aortic wall (Figure 4).
case_images: AngioCT at 1 month (A), 3 months (B), and 7 months follow-up (C).
case_images: fcvm-03-00032-g005.jpg
case_images: PMC5028720_01_fcvm-03-00032-g005.jpg
case_images: F5
case_images: AngioCT at 1, 3, and 7 months follow-up (Figures 5A-C, respectively) confirmed patency of the stents and the persistency of the endoleak, with no increase in its dimension.