Graft-to-endograft anastomosis for emergency treatment of distal aortic arch aneurysm after endovascular stenting of thoracoabdominal type B dissection.

Emergency aortic arch surgery still remains a challenge, especially in elderly patients. We report a case about the open surgical management by graft-to-endograft anastomosis of a complicated aortic arch aneurysm because of a type I endoleak after thoracic endovascular aortic repair of a chronic type B aortic dissection.