Abstract
An 80-year-old man was admitted to our hospital due to the sudden onset of severe chest pain. Contrast-enhanced computed tomography showed type B aortic dissection with an aortic rupture. Because of his age and the aortic rupture, we selected endovascular repair. To obtain an appropriate proximal landing zone, a bypass was created between the left common carotid artery and the right subclavian artery. The primary entry tear was then closed with hand-made stent-grafts. He tolerated all procedures and is doing well at present. The above measures may be a reasonable choice of treatment in cases of complicated aortic dissection, in which the primary entry tear is close to the cervical branches.
