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a) Coronal MPR CT image obtained with intravenous contrast in arterial phase shows a sacular aneurism of the descending aorta, with the presence of an intramural thrombus (arrows). There is no extravasation of the contrast media from the true lumen (arrowhead). b) Axial MPR image shows calcification of the aortic wall (arrowhead). The true lumen (arrowhead) measures 7.4 cm; the aneurysm measured in the perpendicular plane has a diameter of 15.6 cm.
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Tomography revealed an unruptured aortic aneurysm, affecting the distal part of the aortic arch and the descending aorta, with a maximum diameter of 15.6 cm (Fig. 1A, B).
TEVAR (A) Invasive angiography depicts the thoracic aneurism before repair. There is no extravasation of the contrast. (B) Invasive angiography posterior the placement of two endoprothesis. There are no endoleaks.
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An angiogram showed complete exclusion of the aneurysm without endoleaks (Fig. 2).
CT angiogram at a four-month follow up. The endoprothesis is well positioned with no endoleaks.
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No complications were seen in the CT angiography at four-month follow-up (Fig. 3).