Rationale: Endovascular aortic repair in children in the case of aortic dissection (AD) is currently unavailable. This is the first report of aortic dissection type B in an 11-years old child treated in endovascular way.
Patient concerns: Complicated AD. Since bowel malperfusion and aortic rupture the surgery was necessary in emergency.
Diagnoses: Computed angio tomography.
Intervention: The modified PETTICOAT technique (Provisional Extension To Induce Complete Attachment) was used.
Outcome: Full recovery.
Lessons: For the first-time telescope modification were used, to allow aorta to grow with a child. Such a strategy seems to be possible with long overlap and lack of oversizing between implants.