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. 2014 Nov 13;3:670. doi: 10.1186/2193-1801-3-670

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© Sueyoshi et al.; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

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An 87-year-old female with type B acute intramural hematoma of the aorta (IMH). One month later form onset, TEVAR (GORE TAG: 37-mm diameter & 20-cm length) was performed because of ULP enlargement. A, B. One year after TEVAR, this patient complained of severe chest pain. Unenhanced CT images show a mediastinal hematoma (arrow). C-E. Contrast-enhanced CT and MIP images show that a SINE tear (small pseudoaneurysm: arrows) due to the edge of the stent-graft was noted. Re-TEVAR (GORE TAG: 37-mm diameter & 20-cm length × 2) was performed to close a SINE tear. F. Three months after re-TEVAR, a SINE tear and mediastinal hematoma disappeared.