Endovascular Repair of an Aortic Arch Aneurysm using a Branched-Stent Graft

IntroductionAortic arch aneurysm repair continues to pose a formidable technical challenge in a patient population with significant co-morbidity.ReportWe present a successful endovascular repair of an 8.4 cm aortic arch aneurysm, in a 74 year old man, who's previous median sternotomy showed signs of delayed healing, precluding open repair.DiscussionApplied endovascular techniques obviated the need for aortic clamping, cardiac bypass, or hypothermic circulatory arrest, via an approach that was potentially infected.