Abstract
Ruptures of the thoracic aorta in acute type B dissections are currently treated with Endoprosthesis at the proximal tear level. On the other hand, problems occur when one or more visceral vessels arise from the false lumen, because the bleeding through the ostium of the vessel in the lamella of dissection can continue. Eventually, the simple exclusion of proximal tear might not preserve the patient from the next progression to an aneurysm. This case shows both complications.
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