Follow-up CT-Scan after TEVAR: is possible to prevent potential catastrophic complications?

Thoracic endovascular aortic repair (TEVAR) is considered a safe and feasible technique especially in complex cases. One of the most catastrophic complications during follow up is modular disconnection. When modular disconnection occurs, endoleak is massive and risk of mortality is dramatically increased. We report our findings during follow up of a 49 years male underwent ascending aorta replacement for acute Type A aortic dissection and subsequently surgical replacement of aortic arch and TEVAR due to huge enlargement of the thoraco-abdominal false lumen. Our analysis suggest us more attention on topographic changes of the prostheses to prevent this fatal complications.