Page 12 - Virtual Vascular Vol 14
P. 12

TEVAR Failure


















































































    This 54-year old man had a TEVAR in 2011 for a subacute Type B dissection.  Initial response was
    good and the true lumen had expanded.  However due to progressive degeneration and dilata-
    tion of the proximal landing zone, the stent graft had migrated distally resulting in a large prox-
    imal type Ia leak and failure of seal.  The distal landing zone also failed, leading to a new distal

    entry tear (SINE) and dilatation of the distal end as well.

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