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Figure 14b. Endoleak treated with placement of a longer stent-graft. (a) Digital subtraction angiogram shows a large penetrating ulcer of the descending thoracic aorta (arrow). (b) Digital subtraction angiogram obtained following placement of a short stent-graft demonstrates complete exclusion of the ulcer. (c) Digital subtraction angiogram obtained 4 years later reveals a type 1 endoleak, enlargement of the aneurysm, and stent-graft migration into the aneurysm (arrow). (d) Digital subtraction angiogram obtained after insertion of a longer stent-graft depicts complete exclusion of the aneurysm.
