# Off-the-shelf multi-branch endograft for the treatment of chronic type B aortic dissection with prior thoracic endovascular aortic repair

## TL;DR

A 51-year-old man with a history of aortic dissection successfully underwent a new stent graft procedure to treat an aneurysm.

## Contribution

This paper presents a novel off-the-shelf multibranch stent graft technique for treating thoracoabdominal aortic aneurysms.

## Key findings

- The multibranch stent graft successfully sealed the false lumen and achieved false lumen thrombosis.
- Preoperative and postoperative imaging confirmed the effectiveness of the procedure in sealing entry tears.

## Abstract

We report a case of a 51-year-old male with a history of chronic type B aortic dissection status post thoracic endovascular aortic repair who presented with a progressive thoracoabdominal aortic aneurysm. The patient underwent a successful off-the-shelf multibranch stent graft procedure for complete sealing of the false lumen, with extensions into visceral and renal arteries. This case highlights the advantages of this technique, offering comprehensive sealing of entry tears and enhanced false lumen thrombosis. Preoperative computed tomography imaging, intraoperative angiographic images, and postoperative computed tomography findings are presented to illustrate the procedure’s effectiveness and clinical outcomes.