Randomized trial investigates endovascular salvage of type IIIa endoleak from graft infolding, suggesting effective intervention for high-risk patients.
An 83-year-old male with hypertension, type 2 diabetes mellitus, and coronary artery disease presented with back pain and progressive hemodynamic deterioration.He had a known thoracic aortic aneurysm and had twice declined intervention.Computed tomography angiography (CTA) revealed a contained thoracic aortic rupture with a large periaortic hematoma extending into the left pleural space, an ectatic aortic arch (47.8 mm), and an aneurysmal distal descending aorta measuring 72 mm (Figure 1).
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Keten et al. (2026) studied this question.
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