Figure legends:
Fig. 1 Preoperative computed tomography scan which shows (A) dissection
started at the proximal descending aorta. The TL was significantly
compressed by the FL. (B) The entry tear was seen in the mid-descending
aorta. (C) Right kidney flow was diminished as the TL is significantly
compressed. (D) A flow of the Rt. CIA decreased.
TL: True lumen; FL: False lumen; Rt. CIA: Right common iliac artery Fig
2. Intraoperative angiogram demonstrates (A) angiography from the TL.
The flow of the CA and the SMA were decreased. (B) The flow in the Rt.
RA and the Rt. CIA decreased. (C) A 28 x 109 mm Zenith Alpha Thoracic
Endovascular Graft (Cook Medical, Bloomington, Ind) was deployed into
the proximal descending aorta covering the primary tear site (Between
the red lines). (D) The TL was still compressed from the FL through the
visceral arteries segment and infrarenal segment with improved visceral
perfusion. (E) After TEVAR and the distal bare metal stent (Between the
red lines), the flow of CA and SMA improved. The flow into the FL in the
descending aorta disappeared. (F) The flow of Rt. RA and Rt. CIA was
clearly seen and the left RA was perfused from the FL. TL: True lumen,
FL: False lumen, Rt. RA: Right renal artery, Rt. CIA: Right common iliac
artery, CA: Celiac artery, TEAR: Thoracic endovascular aortic repair