Stent Graft-induced New Entry after Total Arch Replacement with Open Stent Graft Technique for Aneurysmal Chronic Stanford Type B Aortic Dissection

A 68-year-old woman after total arch replacement with open stent graft(OSG) technique for aneurysmal chronic Stanford type B aortic dissection was found to have expanding proximal descending aortic aneurysm. Contrast-enhanced computed tomography(CT) showed distal stent graft-induced new entry (distal SINE). We successfully performed additional thoracic endovascular aortic repair (TEVAR). There were no complications and the postoperative course was uneventful. We should take utmost care in selecting surgical procedures with OSG technique for aneurysmal chronic Stanford type B aortic dissection.