PMC6476008_01
Computed-tomography angiography coronal slice demonstrating the infrarenal aortic dissection.
CRIVAM2019-6853135.001.jpg
PMC6476008_01_CRIVAM2019-6853135.001.jpg
fig1
Dedicated CT angiography revealed a 7cm dissection in the infrarenal abdominal aorta extending into the proximal left common iliac artery (CIA) (Figure 1).
Treatment of the infrarenal aortic dissection using the Endologix AFX stent-graft system.
CRIVAM2019-6853135.002.jpg
PMC6476008_01_CRIVAM2019-6853135.002.jpg
fig2
The patient was treated endovascularly using an AFX2 bifurcated AAA endograft sysytem (Endologix, Irvine, CA, USA) (Figure 2).
PMC6476008_02
Computed-tomography angiography in cross-sectional and coronal view demonstrating the infrarenal aortic dissection.
CRIVAM2019-6853135.003.jpg
PMC6476008_03_CRIVAM2019-6853135.003.jpg
fig3
There is an incidental finding of a 3.2cm infrarenal abdominal aortic aneurysm (AAA) with dissection extending distally involving both common iliac arteries (Figure 3).
PMC6476008_03
Computed-tomography angiography in cross-sectional and coronal view demonstrating the infrarenal aortic dissection.
CRIVAM2019-6853135.003.jpg
PMC6476008_03_CRIVAM2019-6853135.003.jpg
fig3
There is an incidental finding of a 3.2cm infrarenal abdominal aortic aneurysm (AAA) with dissection extending distally involving both common iliac arteries (Figure 3).
PMC6476008_04
Computed-tomography angiography reformats demonstrating the infrarenal dissection on the cross-sectional plane and small saccular aneurysm in the coronal plane (arrowhead).
CRIVAM2019-6853135.004.jpg
PMC6476008_04_CRIVAM2019-6853135.004.jpg
fig4
CT angiography showed a minor eccentric saccular aneurysm measuring 23mm involving the right anterolateral aspect, extending over a 9mm intimal flap (Figure 4).
PMC6476008_05
Computed-tomography angiography reconstruction formats demonstrating perfusion of the false lumen with mild aneurysmal dilatation distal to the infrarenal aortic stent.
CRIVAM2019-6853135.005.jpg
PMC6476008_05_CRIVAM2019-6853135.005.jpg
fig5
However, CT angiography at 48-month follow-up demonstrated a type 2 endoleak with filling of the false lumen of the dissection in the infrarenal aorta with associated mild aneurysmal dilatation (Figure 5).