PMC2824630_01
(a) Pre-operative coronal view of the aorta and the aorto-iliac segment showing contrast in the aorta but no flow in the iliac arteries. The dissection extended into both sides. (b) Post-operative coronal view of the same segment with uncovered stent in-situ demonstrating increased flow within the iliac system
1749-8090-5-4-1.jpg
PMC2824630_01_1749-8090-5-4-1.jpg
F1
Tomographic Angiography (CTA) revealed a complex type-A aortic dissection with the primary entry in the aortic arch leading to a dissection flap arising within the inferior aspect of the aortic arch and distal aorta extending to involve the entire thoracic aorta. The true lumen was small and severely narrowed beyond the level of the right renal artery, disappearing entirely just above the aortic bifurcation (Figure 1a and Figure 2a). The outcome of this staged approach was very successful (Figure 1b and Figure 2b) and our patient recovered well.
(a) Pre-operative sagittal view of the thoracic aorta showing contrast within the true and false lumina. Note near total occlusion of the celiac and superior mesenteric arteries (SMA) denoted by white arrows. (b) Post operative sagittal image of the same aortic segment with stent graft in-situ demonstrating increased flow within the celiac and superior mesenteric arteries (SMA) denoted by white arrows.
1749-8090-5-4-2.jpg
PMC2824630_01_1749-8090-5-4-2.jpg
F2
Tomographic Angiography (CTA) revealed a complex type-A aortic dissection with the primary entry in the aortic arch leading to a dissection flap arising within the inferior aspect of the aortic arch and distal aorta extending to involve the entire thoracic aorta. The true lumen was small and severely narrowed beyond the level of the right renal artery, disappearing entirely just above the aortic bifurcation (Figure 1a and Figure 2a). The outcome of this staged approach was very successful (Figure 1b and Figure 2b) and our patient recovered well.