case_images: PMC9478695_01
case_images: (a) The ARSA (arrow) is the true origin of the aortic dissection.
  (b) The ARSA (arrow) is the entry into the false lumen.. ARSA: aberrant right subclavian artery; T: true lumen; F: false lumen.
case_images: 10.1177_2050313X221123432-fig1.jpg
case_images: PMC9478695_01_10.1177_2050313X221123432-fig1.jpg
case_images: fig1-2050313X221123432
case_images: The origin of the ARSA was 17 mm in diameter and emanated from the true cavity (Figure 1(a)). Follow-up computed tomography (CT) was performed 4 years later, revealing that the maximum minor axis of the descending aorta had expanded to 60 mm because of inflow from the ARSA to the false lumen (Figure 1(b)).
case_images: (a) Contrast-enhanced image of the ARSA showing inflow of the aortic
  dissection into the false lumen. (b) Coil and plug embolization are
  performed in the lower part of the ARSA. (c) A thoracic stent graft is
  placed.. ARSA: aberrant right subclavian artery.
case_images: 10.1177_2050313X221123432-fig2.jpg
case_images: PMC9478695_01_10.1177_2050313X221123432-fig2.jpg
case_images: fig2-2050313X221123432
case_images: Contrast imaging was performed from the ARSA to confirm blood flow into the false lumen (Figure 2(a)). An AMPLATZR Vascular Plug II (16 mm; AGA Medical Corporation, Plymouth, MN, USA) and an Interlock-35 Coil (10 mm x 40 cm; Boston Scientific Co., Marlborough, MA, USA) were placed in the lower part of the ARSA (Figure 2(b)). No endoleak was observed on contrast imaging (Figure 2(c)).
case_images: (a) No enlargement of the aneurysm diameter is observed after the TEVAR.
  (b) 3D-CT angiography findings.. TEVAR: thoracic endovascular aortic repair; 3D-CT: three-dimensional computed
  tomography.
case_images: 10.1177_2050313X221123432-fig3.jpg
case_images: PMC9478695_01_10.1177_2050313X221123432-fig3.jpg
case_images: fig3-2050313X221123432
case_images: The maximum minor axis of the aortic dissection was 60 mm and did not change (Figure 3).