Abstract
A 34-year-old man was admitted to a local hospital with progressively worsening dysphagia and dyspnea 3 weeks after thoracic endovascular aortic repair (TEVAR) of acute type B aortic dissection. Computed tomography angiography (CTA) showed a huge periaortic hematoma (77 mm × 63 mm, asterisk) resulting in severe compression of the esophagus and left trachea (A). The patient was rapidly transferred to our unit, and physical examination indicated diminished left chest breath sound. Although type I or III endoleak (red arrowhead) was initially suspected (B; Supplementary Video 1, online only), such diagnoses were excluded by the intraluminal aortography (Supplementary Video 2, online only).
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