The last 15 years have overwhelmed the surgical community with a range of approaches in treating pathologies involving the aortic arch of which some are here to stay. The ones to stay are—in the authors’ opinion—refined classical surgical approaches such as the frozen elephant trunk technique, near-orthotopic combined vascular and endovascular approaches such as subclavian to carotid transposition/bypass and double transposition, and finally, near-orthotopic advanced endovascular solutions such as the double-endovascular repair using fenestrated and/or branched solutions which will be the main focus of this article.
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Compliance with ethical standards
Conflict of interest
Martin Czerny and Bartosz Rylski are consultants to Terumo Aortic.No need for ethics or consent as this is a review article.
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