Abstract
A 55-years old man was referred to our hospital due to chest and back pain. He was managed conservatively with antihypertensive therapy because of acute uncomplicated type B aortic dissection. After six months, his dissecting aortic aneurysm had enlarged to 45 mm in diameter and the true lumen had been narrow. To achieve aortic reconstruction, thoracic endovascular aortic repair (TEVAR) of combined covered stent graft and metal bare stent with Zenith Endovascular Graft (Cook Inc., Bloomington, IN) was performed from Zone-2 to terminal aorta. Three and six months after TEVAR, the true lumen was normalized in consequence of remodeling. This procedure has a beneficial effect on aortic remodeling of dissecting aneurismal aorta in the short term.