Endovascular stenting of a complicated type B aortic dissection in an 11-year-old patient: Case Report

RATIONALE: Endovascular aortic repair in children in the case of aortic dissection (AD) is currently unavailable. This is the first report of aortic dissection type B in an 11-years old child treated in endovascular way. PATIENT CONCERNS: Complicated AD. Since bowel malperfusion and aortic rupture the surgery was necessary in emergency. DIAGNOSES: Computed angio tomography. INTERVENTION: The modified PETTICOAT technique (Provisional Extension To Induce Complete Attachment) was used. OUTCOME: Full recovery. LESSONS: For the first-time telescope modification were used, to allow aorta to grow with a child. Such a strategy seems to be possible with long overlap and lack of oversizing between implants.