Aortic arch aneurysm repair with a new branched device.

Aortic arch pathologies remain a technical challenge. The major difficulties in endovascular repair involve anatomic factors and technical aspects. The location of the disease may restrict an adequate proximal sealing zone, and alignment of the endograft is fundamental to acute success and long-term stability. We describe the successful endovascular repair of a 61-mm aortic arch aneurysm using a new branched device.