Total endovascular repair of an intraoperative stent-graft deployed in the false lumen of Stanford type A aortic dissection: A case report

Figure 1 Preoperative computed tomography: The stents of innominate artery and thoracic aorta were located in the false lumen. There was carotid dissection, and the distal true lumen of the aorta became smaller. T: True lumen; F: False lumen.

Figure 2 Treatment stage 1 computed tomography. A: Angiography after the left subclavian artery-right carotid artery bypass; B: Preoperative angiography of the aorta showed that the stent was located in the false lumen and the true lumen was small; C: During the operation, the true lumen of aorta was sealed with an occluder and a conical stent was used to connect the proximal stent with the distal true lumen; D-F: Postoperative computed tomography showed good proximal repair and an enlarged distal false lumen. T: True lumen; F: False lumen.

Figure 3 3D printing model, angiography, and computed tomography scan. A, B: Release the stent in the 3D printing model and modify the stent on the stage; C, D: Intraoperative and postoperative angiography; E-G: Postoperative computed tomography scan that demonstrates successful thoracic and abdominal aortic dissection repair with patency of all target vessels.

Figure 4 Operation diagram.