Abstract
Aortic arch pseudoaneurysm is a rare, but serious, complication of aortic dissection with a high risk of rupture. Traditional open surgical intervention has been associated with a high mortality rate (7%-17%). Thoracic endovascular aortic repair (TEVAR) provides a minimally invasive option but requires a 2-cm proximal seal. Advances in device development have led to an increasing body of experience with branched TEVAR (B-TEVAR). These new devices provide a minimally invasive alternative for patients with various types of aortic disease and preserve perfusion to supra-aortic arch vessels.
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