Figure 3
From: Endovascular repair of aortic dissection and intramural hematoma: indications and serial changes
An 81-year-old female with type B chronic AD. A-C. One year after onset, oblique sagittal MPR images and aortography show aneurysmal dilation of the affected aorta. D. TEVAR (handmade stent-graft: 38-mm diameter & 20-cm length) was performed the entry site was closed. E. Three months after TEVAR, 3D CT angiography shows a type A AD due to a new intimal tear caused by the proximal edge of the stent-graft. Ascending aorta replacement was conducted. F. Three months after surgery, 3D CT angiography shows a type B AD due to a new intimal tear caused by the distal edge of the stent-graft. G. Re-TEVAR (GORE TAG: 37-mm diameter & 20-cm length × 2) was performed. 3D CT angiography images show that false lumen fully thrombosed.