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Coarctation associated with a dissected aneurysm is uncommon and has an incidence of less than 1%. There are few reports describing treatment of this condition with stent graft. Challenging as it may be, endovascular treatment of complex cases has become the preferred modality especially when the anatomy is amenable. We describe the case of a 36-year old male, who suffered a car accident and was diagnosed with acute type B aortic dissection (ATBAD). CT-scan revealed a coarctation associated with a large dissected aneurysm (11cm). Complexity of pathology and high risk of rupture required immediate intervention. Open repair necessitates extensive surgery with a considerable risk of morbidity and mortality. We decided to perform an endovascular repair and subsequentially the patient was successfully treated with stent graft deployment, showing durable early-midterm results. Patient remains asymptomatic to this day and CT-scan at 3-year follow-up revealed a reduced and thrombosed aneurysm., Video abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/N_9x4r4iO9M

Accurate diagnosis of tachyarrhythmias is of vital importance for correct management. Diagnosis of wide QRS complex tachycardias sometimes pose serious difficulties. We aimed to present the differential diagnosis and ablative treatment of a young man with a wide QRS complex tachycardia with left bundle branch block pattern and left axis deviation, further complicated by the presence of a persistent vena cava superior., Taşiaritmilerin doğru tanı ve tedavisi hayati öneme sahiptir. Geniş QRS kompleks taşikardilerin doğru tanısı bazen ciddi sıkıntılara yol açabilmektedir. Biz bu yazıda çarpıntı esnasında alınan yüzey EKG kaydında sol dal bloğu ve sol aks morfolojili geniş QRS kompleksler saptanan, ayrıca persistan sol superior vena kava varlığı ile komplike olan olgunun ayrıcı tanısı ve tedavisini sunmayı hedefledik.