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Figure 6a. Stanford type A dissection treated with endovascular completion of the elephant trunk technique. (a) DSA image shows the ascending aorta and aortic arch replaced by a graft, the elephant trunk (arrowheads), which mainly supplies the false lumen (*); the true lumen is compressed (arrows). (b) Oblique sagittal reformatted CT scan shows the elephant trunk (arrowheads) connected to the false lumen (*). Note the intimal flap and compression of the true lumen (arrows) by the dilated false lumen. (c) CT scan obtained before the endovascular procedure shows the end of the elephant trunk (arrowhead) connected to the dilated false lumen in the proximal descending aorta. (d) Follow-up CT scan shows complete thrombosis of the false lumen (*).
