Total endovascular aortic repairs using branched devices for arch and thoracoabdominal aneurysms

Endovascular repair can be an alternative to conventional surgery for arch and thoracoabdominal aneurysms; however, it has the limits of available stent-grafts in anatomy. We present the case of an 87-year-old woman who had dual aneurysms in the arch and thoracoabdominal regions. We considered that traditional open surgery was of extremely high risk, because she was an octogenarian and had multiple comorbidities. We successfully treated the aortic arch aneurysm and the thoracoabdominal aortic aneurysm using endovascular stent-grafts in a high-risk patient who was a poor candidate for the conventional open surgery.