一例男性患者因胸痛收住入院,增强CT检查示主动脉夹层动脉瘤(standford B型),经常规降压、降心率等治疗后仍有胸痛。后行造影确诊为standford B型主动脉夹层动脉瘤,并行覆膜支架置入术封闭近端撕裂口。术后假腔消失,胸痛缓解。随访6月,患者无胸痛复发,无手术相关并发症。复查增强CT示假腔封闭。 A male patient admitted to hospital for chest pain, enhanced CT showed aortic dissection aneurysm (standford B type), after conventional blood pressure, heart rate and other treatment of chest pain. Posterior angiography was diagnosed as standford type B aortic dissection aneurysm, and stent implantation combined with proximal tearing. After the disappearance of false lumen, chest pain relief. Follow-up in June, patients without recurrence of chest pain, no surgery-related complications. Review enhanced CT showed false lumen closure.