PMC2800019_01
Preoperative CT scan showing an extraluminal hematoma of the distal aortic arch containing an aortic rupture.
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F1
A spiral computed tomography (CT) scan revealed an extraluminal hematoma in the distal aortic arch with a contained aortic rupture (Fig. 1).
(A) Pre-procedural angiogram after debranching of the left subclavian artery, showing free blood flow to both arch vessels and the morphology and extent of the rupture site. Post-procedural angiogram (B) and CT scan (C) after stent-graft placement, showing complete exclusion of the rupture site and good apposition of the endoprosthesis, without endoleak around A B C the stent-graft.
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F2
A 5F-calibrated angiographic catheter was advanced into the aortic arch via the contralateral common femoral artery to determine the morphology and extent of the aortic rupture (Fig. 2A). Intraoperative angiography was used for post-procedural assessment of stent-graft positioning and endoleak (Fig. 2B). An in-hospital thoracic CT scan on postoperative day 12 (Fig. 2C) showed successful exclusion of the rupture site, with no any signs of endoleak or graft-related complications.
Left supraclavicular wound.
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F3
At the first visit to the out-patient department, the patient was doing well and showed good healing of the supraclavicular incisional wound (Fig. 3).