eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-06-15 3 7 218 221 10.12691/ajmcr-3-7-10 AJMCR20153710 article Puppini Giovanni giovanni.puppini@ospedaleuniverona.it 1 Perandini Simone 1 Augelli Raffaele 1 Petrilli Giuseppe 2 Faggian Giuseppe 2 Montemezzi Stefania 2 Department of Radiology, AOUI Verona, Pzle Stefani 1, 37100, Verona, Italy Department of Cardiothoracic Surgery, AOUI Verona, Pzle Stefani 1, 37100, Verona, Italy Aortic dissection is a critical condition leading to significant mortality and morbidity. Urgent endovascular treatment is an attractive treatment option in selected Patients. A 46-year-old woman was admitted to the emergency room for sudden onset of severe abdominal pain radiating to the lower back with paresthesia of the right lower limb. CT scan revealed an acute thoracic aortic dissection at the level of the left subclavian artery descending into the abdominal aorta and both iliac arteries, with a compressed and thrombosed true lumen causing vascular infarcts in the right kidney. A stent-graft was deployed as soon as the patient's vital signs were stabilized. CT and clinical follow-up revealed no signs of complication and a complete resolution of symptoms. In the presented case the endovascular approach resulted in a prompt and durable resolution of symptoms and underlying causes, which also allowed substantial renal parenchyma salvage. http://pubs.sciepub.com/ajmcr/3/7/10/ajmcr-3-7-10.pdf aortic dissection TEVAR interventional radiology