Pregnancy-Associated Type B Aortic Dissection Treated With Thoracic Endovascular Aneurysm Repair Chang Shu, MD, PhD, Kun Fang, MD, Alan Dardik, MD, PhD,

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Pregnancy-Associated Type B Aortic Dissection Treated With Thoracic Endovascular Aneurysm Repair Chang Shu, MD, PhD, Kun Fang, MD, Alan Dardik, MD, PhD, Xin Li, MD, Ming Li, MD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages 582-587 (February 2014) DOI: 10.1016/j.athoracsur.2013.09.009 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Thoracic endovascular aortic repair of pregnancy-associated dissection performed during late trimester of pregnancy in patient 1. (A) Preoperative computed tomography angiography showed the aortic dissection, the primary entry tear located at the proximal descending aorta (triangle), with a mature fetus in the abdomen and pelvis (asterisk). (B) Aortography showed the compressed true lumen (TL), active leakage into a large false lumen (FL), as well as a coarctation (arrow) with minimal diameter of 1.0 cm. (C) Postoperative computed tomography angiography showed successful endovascular repair of the dissection without migration or endovascular leak at 14-month follow-up. The Annals of Thoracic Surgery 2014 97, 582-587DOI: (10.1016/j.athoracsur.2013.09.009) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Thoracic endovascular aortic repair of pregnancy-associated dissection requiring an adjunctive endovascular procedure in patient 2. (A) Preoperative computed tomography angiography showed the origin of the aortic dissection parallel to the orifice of left subclavian artery (LSA [asterisk]). (B) The computed tomography angiography at 3 months showed the aortic stent-graft covered the left common carotid artery (LCCA) and the LSA; a snorkel stent was implanted in the LCCA, and a type II endovascular leak (arrowheads) originating from the LSA (asterisk) existed. (C) Computed tomography at 11 months showed spontaneous disappearance of the endovascular leak, and a patent LCCA snorkel stent (arrow). The Annals of Thoracic Surgery 2014 97, 582-587DOI: (10.1016/j.athoracsur.2013.09.009) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions