PMC5723941_01
CT with intravenous contrast showed a 5,5 cm saccular aneurysm of descending thoracic aorta.
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An urgent computer tomography (CT) with intravenous contrast was performed which showed a 5,5 cm saccular aneurysm of the descending thoracic aorta arising less than 2 cm from the left subclavian artery and intrapulmonary hematoma (Figures 1 and 2).
CT depicted an aortobronchial fistula with intrapulmonary hematoma.
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An urgent computer tomography (CT) with intravenous contrast was performed which showed a 5,5 cm saccular aneurysm of the descending thoracic aorta arising less than 2 cm from the left subclavian artery and intrapulmonary hematoma (Figures 1 and 2).
DSA revealed the presence of pseudoaneurysm just distal to the left subclavian artery.
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An aortography was performed which revealed the saccular aneurysm just distal to the left subclavian artery (Figure 3).
Deployment of Ankura endograft with exclusion of the saccular aneurysm, coverage of the left subclavian artery, and absence of endoleak.
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Completion arteriogram was performed with exclusion of the saccular aneurysm, coverage of the left subclavian artery, and absence of endoleak (Figure 4).
Three-dimensional CT angiography of thoracic aorta with proper placement of endograft and occlusion of left subclavian artery.
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A follow-up CT angiography revealed accurate placement of endograft with no endoleak and thrombosis of the saccular aneurysm (Figure 5).