Thoracoabdominal branched repositionable device for an urgent complex aortic aneurysm

The successful use of customized branched or fenestrated devices to treat elective thoracoabdominal aneurysm (TAAA) has already been described. However, the device customization is a lengthy process that necessitates a delay in treatment of more than a month. This case reports an emergency treatment of TAAA, in a 80-year-old patient, refused to open repair, admitted with abdominal pain using a new technique, modifying Gore C3 Excluder (WL Gore & Associates, Flagstaff, AZ) including branches to enable the emergency endovascular treatment of TAAA preserving visceral artery flow and excluding aneurysm.