Acute abdominal aorta occlusion due to AFX2 endograft collapse following a Stanford type B aortic dissection

A 76-year-old man was diagnosed with a Stanford type B aortic dissection that resulted in an occluded abdominal AFX2 endograft (Endologix Inc., Irvine, CA, USA), which had been placed four months prior, and bilateral limb ischemia. Malperfusion was successfully treated using thoracic endovascular aortic repair and bilateral thrombectomy. Here, we describe the collapse of an AFX2 endograft owing to acute aortic dissection, highlighting that endovascular treatment should be initially considered in such cases