PMC7640567_01
Preoperative contrast CT-scan highlighting arch involvement.
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Preoperative contrast CT-scan highlighting involvement of the superior mesenteric artery.
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Fig. 2). Co-morbidities included arterial hypertension, sickle cell anaemia and chronic renal impairment requiring dialysis for which a left brachiocefalic fistula had been created. Following transfer and further review of the available images, it was clear that the dissection extended to the superior mesenteric artery (SMA) giving matter of concern for potential bowel ischemia postoperatively (Fig. 3).
Preoperative 3D reconstruction of the key areas of the dissection.
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Following contrast injection, it became evident that the features of the disease were more consistent with a type B dissection that had progressed in a retrograde manner with lower entry points in the descending thoracic aorta (Fig. 4).
Postoperative 3D reconstruction following deployment of the stented portion of the Thoraflex device.
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A postoperative echocardiographic and CT-scan assessment was considered extremely satisfactory (Fig. 5).