A, Preoperative CT scan of a patient with type IV TAAA. B, Follow‐up CT scan showing the trifurcated graft and the endovascular stent. CT, computed tomography; TAAA, thoracoabdominal aortic aneurysm

A, Preoperative CT scan of a patient with type IV TAAA. B, Follow‐up CT scan showing the trifurcated graft and the endovascular stent. CT, computed tomography; TAAA, thoracoabdominal aortic aneurysm

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Treatment of thoracoabdominal aortic aneurysms with endovascular or conventional surgical techniques is burdened by high risk in older patients. Furthermore, the standard hybrid approach might be not feasible in case of severe atherosclerotic disease of the peripheral vessels. This report describes an alternative hybrid procedure which consists of...