Complication of Endoleak and Retrograde Type A Dissection after Stenting of a Ruptured Type B Dissection

Purpose: We report a case of ruptured type B aortic dissection. Subject: A 59-year-old man with type B aortic dissection that ruptured into the left hemithorax, and was complicated by an endoleak and retrograde type A dissection after stenting. Results: This patient was treated with thoracic endovascular aortic repair (TEVAR), but was complicated by an endoleak. The patient died from a retrograde type A dissection on the 14th postoperative day. Conclusions: We recommend using a 200-mm stent without oversizing and avoidance of ballooning. A type II proximal endoleak must be treated in emergency aortic rupture cases.