Figure 4
From: Endovascular repair of aortic dissection and intramural hematoma: indications and serial changes
An 87-year-old female with type B acute intramural hematoma of the aorta (IMH). One month later form onset, TEVAR (GORE TAG: 37-mm diameter & 20-cm length) was performed because of ULP enlargement. A, B. One year after TEVAR, this patient complained of severe chest pain. Unenhanced CT images show a mediastinal hematoma (arrow). C-E. Contrast-enhanced CT and MIP images show that a SINE tear (small pseudoaneurysm: arrows) due to the edge of the stent-graft was noted. Re-TEVAR (GORE TAG: 37-mm diameter & 20-cm length × 2) was performed to close a SINE tear. F. Three months after re-TEVAR, a SINE tear and mediastinal hematoma disappeared.