Total Endovascular Aortic Arch Repair Using Three-Vessel Inner Branch Stent-Graft

Endovascular repair has been introduced to decrease the morbidity and mortality associated with open surgical repair of aortic arch pathology. This video illustrates a 71-year-old male patient with an asymptomatic saccular aortic arch aneurysm treated by total endovascular aortic repair using three-vessel inner branch stent-graft. Post-operative course was unremarkable and the patient was discharge home on post-operative day 3. Total endovascular aortic arch repair is a suitable alternative in higher risk patients with aortic arch aneurysms who are not ideally suited for open surgical repair.