Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome Jasper W. van Keulen, MD, Frans L. Moll,

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Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome Jasper W. van Keulen, MD, Frans L. Moll, MD, PhD, A. Khodadade Jahrome, MD, Joost A. van Herwaarden, MD, PhD Journal of Vascular Surgery Volume 50, Issue 1, Pages 190-192 (July 2009) DOI: 10.1016/j.jvs.2009.01.045 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomographic angiography (CTA) of the thoracic aorta showing a type B dissection, sagittal view. Journal of Vascular Surgery 2009 50, 190-192DOI: (10.1016/j.jvs.2009.01.045) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Computed tomographic angiography (CTA) performed after the first procedure, sagittal view. Successful closure of the primary intimal tear was seen. B, CTA performed 3 weeks after the first procedure, sagittal view. A proximal pseudoaneurysm, based on perforation of a proximal bare strut through the aortic wall, was seen. Journal of Vascular Surgery 2009 50, 190-192DOI: (10.1016/j.jvs.2009.01.045) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Angiography performed before deployment of the second stent graft. Note the obvious dislocation of the first stent graft with perforation of the aortic wall and contrast extravasation. Journal of Vascular Surgery 2009 50, 190-192DOI: (10.1016/j.jvs.2009.01.045) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 4 Computed tomographic angiography (CTA) of the thoracic aorta with three-dimensional volumetric reconstruction that shows successful exclusion of the pseudoaneurysm. Journal of Vascular Surgery 2009 50, 190-192DOI: (10.1016/j.jvs.2009.01.045) Copyright © 2009 Society for Vascular Surgery Terms and Conditions