Acute Stanford Type A Aortic Dissection With Stent Graft Collapse and Bilateral Lower Limb Ischemia.

Aortic dissection is a rare but life-threatening complication that can occur after endovascular aneurysm repair (EVAR). We report the case of a 72-year-old woman with a history of coronary artery bypass grafting and EVAR who presented with acute chest and lower limb pain. CT angiography revealed a Stanford type A dissection with collapse of the stent graft and iliac thrombosis. Shortly after imaging, she developed respiratory distress and cardiac arrest, with unsuccessful resuscitation. This case emphasizes the diagnostic value of multimodality imaging in recognizing fatal complications after EVAR.