title: Endovascular repair of an aortic arch aneurysm using a branched-stent graft.
abstract: BACKGROUND
  Aortic arch aneurysm repair continues to pose a formidable technical challenge in a patient population with significant co-morbidity.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Applied endovascular techniques obviated the need for aortic clamping, cardiac bypass, or hypothermic circulatory arrest, via an approach that was potentially infected.
authors: St George's Vascular Institute, St George's Hospital NHS Trust, Blackshaw Road, London SW17 0QT, UK.
authors: R
authors: R
authors: Brar
authors: T
authors: T
authors: Ali
authors: R
authors: R
authors: Morgan
authors: I
authors: I
authors: Loftus
authors: M
authors: M
authors: Thompson
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015641:Radiography, Interventional; D015607:Stents; D013249:Sternum / Q000601:surgery; D013530:Surgical Wound Infection / Q000150:complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome