Abstract
A 64 year old man presented with acute abdominal and chest pain. (A) Computed tomography angiography showed an 84 mm infrarenal aortic aneurysm with retrograde aortic dissection arising from the aneurysm (blue arrow, entry tear) to the middle of the thoracic aorta (red arrows, dissection limits). Owing to persistent abdominal pain, he underwent endovascular aortic repair using an infrarenal bifurcated stent graft (WL Gore, Flagstaff, AZ, USA), followed by bare stenting of the upper abdominal and descending aorta (Cook Medical, Bloomington, IN, USA). Both grafts were expanded as per the STABILISE technique, allowing complete exclusion of the aneurysm and dissection (B).
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