Endovascular Aortic Arch Repair: Hopes and Certainties

Aortic arch aneurysm necessitating anchoring of the stent-graft in zone 0 and aneurysm of the descending aorta. A total arch rerouting was performed by the use of an inversed bifurcated graft prosthesis with end-to-end anastomosis between the first branch and the brachiocephalic trunk and between the second branch and the LSA. The left CCA was reinserted into the branch of the LSA (A). Successful exclusion of both aneurysms after EVAR (B).

Distal arch aneurysm necessitating anchoring of the stent-graft in zone 1. Transposition of the left CCA and of the LSA was performed prior to EVAR (A). Successful exclusion of the aneurysm after stent-graft implantation (B). Krainz Elfriede.