Abstract
We report a case of acute type B dissection in a patient with paraplegia that improved after emergent thoracic endovascular stent graft repair (TEVAR). A 62-year-old man was admitted to our hospital because of acute onset of abdominal pain and paraplegia. Computed tomography scan revealed type B aortic dissection with complete thrombosis of the false lumen and a severely collapsed true lumen. The patient's right and left femoral arteries were weakly palpable. Emergent TEVAR was performed to close the entry site. After TEVAR, femoral arteries on both sides were well palpable, and the neurological deficit resolved immediately. Entry closure with TEVAR can maintain the collateral supply of the spinal cord that is important for treating spinal cord injury due to acute aortic dissection.
