Figure 2:

Chest CT Scan of the patient 17 days postoperatively showing the tail of the elephant trunk in the lumen of the aorta acting like an intimal flap or a coarctation of the aorta. There was a pressure gradient of 60 mmHg between the upper and the lower limbs. There is a left lower lobe infiltrate and the persistence of the dissection of the descending aorta.