Aortic arch aneurysms: treatment with extraanatomical bypass and endovascular stent-grafting.

Endovascular repair of thoracic aortic aneurysms is emerging as an attractive alternative to surgical graft replacement. However, patients with aortic arch aneurysms are often excluded from the target of endovascular repair because of lack of suitable landing zones, especially at the proximal ones. In this paper we describe our method for treating patients with aortic arch aneurysms using a combination of extraanatomical bypass surgery and endovascular stent-grafting.