Stenting of the aortic arch and the supra-aortic vessels, in a patient with DeBakey type I dissection

Abstract Background Aortic dissection (AD) is a medical condition which requires emergent surgical intervention for dissection type I and II DeBakey. Despite advances in diagnostic and therapeutic modalities, mortality is still high. Additional tears, critical true lumen compression and obliteration with end-organ ischemia can compromise acute and chronic clinical outcomes after surgical intervention of AD. Endovascular treatment with non-covered stent implantation can be the treatment of choice for these cases. Thus the purpose includes closure of the proximal entry tear, depressurization of the false lumen, leading to its thrombosis, redirection of the blood flow toward the true lumen and induction of “aortic remodeling” process.