PMC8496099_01
Showed the radiological images for the first case. Fig. A and B illustrated the CTA of a ruptured MA at the left external iliac artery and a leaking MA at the juxta-renal aorta. Fig. C showed the aortic stenting with bilateral renal chimney and a completion of angiogram showing an exclusion of the aneurysm.
gr1.jpg
PMC8496099_01_gr1.jpg
fig0005
She proceeded with the aortographic computer tomography (CTA) (Fig. 1A, B). Aortic Repair (EVAR) with bilateral renal chimney graft. A postoperative CTA was performed (Fig. 1C).
PMC8496099_02
Demonstrated the CTA images for the second case. Fig. A revealed multiple MAs involving the thoracic and abdominal aorta. The MA involving the abdominal aorta had ruptured with a contained leak. Fig. B illustrates CTA performed after the initial EVAR to exclude an abdominal MA with a contained leak. Fig. C revealed a total exclusion of the thoracic and abdominal MAs with good perfusion to the targeted visceral vessels.
gr2.jpg
PMC8496099_02_gr2.jpg
fig0010
The CTA was performed (Fig. 2A, B). A surveillance CT scan was performed after a month of the procedure (Fig. 2).
PMC8496099_03
Belonged to the third case. Fig. A depicted a widened mediastinum. Fig. B showed a lobulated saccular MA arising from the aortic arch, surrounded by an enhancing walled mural thrombus. In Fig. C, CTA revealed the MA exclusion without an endoleak and the perfusion maintenance to the supra-aortic vessels.
gr3.jpg
PMC8496099_03_gr3.jpg
fig0015
The chest x-ray (Fig. 3A) was suspicious of aortic abnormality in the thorax. Thus, he proceeded with the CTA (Fig. 3B). The postoperative CTA was performed (Fig. 3C).