Acute aortic dissection is a worrying complication of many diseases, such as: atherosclerotic and degenerative disorders, bicuspid aortic valve, aortic coarctation, pregnancy, connective tissue disorders (Marfan, Ehlers-Danlos), skeletal abnormalities (scoliosis, pectus), mycotic aneurysm, Takayasu arteritis, and aortic traumatic laceration.
Intravascular treatment is becoming a minimally invasive option that can be used even in patients with extensive involvement, for example affecting the whole thoracic aorta.
Short- and mid-term complications of the stenting procedure are reported, including: collapse, torsion, mobilisation, kneeing, and thrombosis.
In this case a complication without severe consequences is described. The haematoma created an image that could be misinterpreted as a residual tear. Follow-up examination with spiral CT and clinical examination demonstrated the static nature of the image. Careful follow-up is needed in patients with this complication.