Endovascular repair of an aortic arch aneurysm using a branched-stent graft.

INTRODUCTION: Aortic arch aneurysm repair continues to pose a formidable technical challenge in a patient population with significant co-morbidity. REPORT: We 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. DISCUSSION: Applied endovascular techniques obviated the need for aortic clamping, cardiac bypass, or hypothermic circulatory arrest, via an approach that was potentially infected.