Arterial dissection is defined as a cleavage of the arterial wall caused by intramural
hematoma. Isolated extra-aortic
arterial dissection has been reported in renal and carotid arteries in few literatures but suprarenal aorta dissection associated with retrograde formation of a giant descending thoracic
aneurysm is considered very rare. We present a quite unusual case of suprarenal aorta dissection associated with retrograde formation of a giant descending thoracic
aneurysm sparing both renal and mesenteric vessels, without any branch vessel involvement or visceral damage. Because of the patient's persistent epigastric
pain, endovascular celiac artery
stent implantation was performed with 3 multiple overlapping uncovered
stents. Twelve months after the procedure, computed tomographic angiography (CTA) of the abdomen showed patency of both celiac
stents with
thrombus formation in the retrograde dissection sac, and the patient remained asymptomatic. This case and others in the medical literature suggest that endovascular treatment can be feasible in symptomatic patients with spontaneous isolated dissection at renal upper abdominal aortic.