Left common carotid urgent reperfusion after inadvertent TEVAR coverage

Type B aortic dissections can carry significant morbidity and mortality when not promptly treated. Although anti-impulse control remains the mainstay treatment of type B aortic dissection, they may often require repair when the dissection becomes complicated or develops high risk features. Thoracic endovascular aortic repair (TEVAR) has been successful for those who require repair but still carry associated procedural risks. Inadvertent coverage of a branch vessel is a rare but serious complication. We describe a case report of a patient with accidental proximal TEVAR deployment resulting in left common carotid artery partial coverage and malperfusion necessitating prompt carotid revascularization with stent placement adjacent to TEVAR.