Abstract
Chronic thoracoabdominal aortic aneurysm (TAAA) with dissection presents an interesting and complex challenge for surgeons owing to the high degree of variability in the anatomy of the dissected aorta and its branch vessels. Although some success has been made with endovascular interventions in a subset of highly selected patients, the applicability of endovascular solutions remains limited by anatomy. The locations of branch vessels, the primary tear, downstream fenestrations, and landing zones all need to be considered carefully.
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