# Treatment of retrograde ascending aorta and aortic arch intramural hematoma (IMH) with thoracic endovascular aortic repair (TEVAR)

## TL;DR

This paper shows that a less invasive procedure can successfully treat a dangerous aortic condition in high-risk patients.

## Contribution

The paper presents a successful case of using TEVAR for retrograde ascending aortic IMH, a novel approach.

## Key findings

- TEVAR was successfully used to treat a high-risk patient with retrograde ascending aortic IMH.
- High-quality imaging assisted in the effective endovascular management of the condition.
- TEVAR may offer better outcomes compared to open surgery for this type of aortic injury.

## Abstract

Typically, the presence of ascending aortic IMH is treated with open surgical repair due to the unpredictability of subsequent rupture. We demonstrate successful endovascular management of retrograde ascending IMH with TEVAR in a 58-year-old, high-risk patient. Assisted by high-quality pre- and intra-operative imaging, TEVAR for type B dissection with retrograde IMH extension into the ascending aorta may offer a less invasive treatment and possibly a better outcome for patients.