title: Secondary aortic dissection after endoluminal treatment of an intramural hematoma of the thoracoabdominal aorta: endovascular extension with two stent grafts and scarce distal landing.
abstract: Secondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the healthy vessel wall is advisable. However, our case shows that, in individual cases, it is indeed efficient to place an aortic stent graft on top of the distal end of the dissection. This is proven by a three-year follow-up CT-angiography.
authors.affiliation: Department of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, Austria.
authors.forename: Peter I
authors.initials: PI
authors.lastname: Kalmar
authors.affiliation: Department of Surgery, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, Austria.
authors.forename: Peter
authors.initials: P
authors.lastname: Oberwalder
authors.affiliation: Department of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, Austria.
authors.forename: Peter
authors.initials: P
authors.lastname: Schedlbauer
authors.affiliation: Department of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, Austria.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Steiner
authors.affiliation: Department of Radiology, Medical University of Graz, Auenbruggerplatz 9a, 8036 Graz, Austria.
authors.forename: Rupert H
authors.initials: RH
authors.lastname: Portugaller