The patient was a 48-year-old man who had undergone fenestrated frozen elephant trunk (FET) technique for acute type A aortic dissection. Postoperative enhanced computed tomography (CT) imaging revealed a type 1a endoleak from the fenestration. Nevertheless, the stented portion of the FET exhibited circular expansion. However, 2 months after surgery, enhanced CT imaging revealed the flattening of the FET due to the persistent endoleak and we performed an urgent zone 2 thoracic endovascular aortic repair (TEVAR). When type 1a endoleak from the fenestration is observed, the FET can be flattened, as in this patient, additional intervention should be considered.
Keyphrases
- aortic dissection
- computed tomography
- aortic aneurysm
- abdominal aortic aneurysm
- high resolution
- dual energy
- image quality
- positron emission tomography
- randomized controlled trial
- case report
- magnetic resonance imaging
- single cell
- patients undergoing
- spinal cord
- liver failure
- lower limb
- extracorporeal membrane oxygenation
- mass spectrometry
- respiratory failure
- hepatitis b virus
- mechanical ventilation