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#DrBhavanishankarmanam #HYBRIDTEVAR #thoracicendovascularaortarepair Happy to share that we successfully completed one of the most complex types of cases…HYBRID TEVAR ( thoracic endovascular aorta repair) for a case of aortic dissection recently and patient got discharged yesterday with no more further complaints..!! 59 yr old male , known hypertensive presented with sudden onset of retrosternal chest and abdominal pain diagnosed as aortic dissection which started all the way from origin of left subclavian artery to bilateral common iliac arteries..!! For aortic stent graft deployment as there’s difficult arch anatomy and there is no space ( for graft stability we always start deploy the graft 1.5 to 2cm ahead of starting point) we had to cover left carotid and subclavian arteries in this case..hence we did initially right carotid to left carotid and left carotid to left subclavian bypass to preserve the blood flow to brain and left limb..later we deployed the aortic stent graft…entire procedure was uneventful.. Tnq..!! #aorticdissection#TEVAR#thoracicendovascularaorticr epair#interventionalradiology#irworks#muchsatisfiedo ne#interventionalradiologist#professional life#hyperten sivepatients#beaware..!!