Abstract
A 60-year-old male was emergently transported to our hospital because of severe chest and back pain. The CT scan showed DeBakey type III B aortic dissection. The superior mesenteric artery (SMA) received blood flow from the true lumen, but the initial segment was compressed by the pressurized false lumen. Due to the prolonged intestinal peristalsis and the critically worsening respiratory conditions, thoracic endovascular aortic repair was performed at 3 days after the admission. A stent-graft was deployed to seal the primary entry. The false lumen was sufficiently depressurized, so that the SMA flow was increased right after the treatment. Oral intake started at the 8th post operative day, and post operative recovery was not uncomplicated. Entry closure using stent grafts seemed feasible to deal with the critical organ circulation under these circumstances.
