Physician-Modified Endograft With Triple Inner Branches for Extensive Aortic Arch Aneurysm.

<bold>Purpose: </bold>The purpose of this case report was to demonstrate the feasibility of a physician-modified endograft (PMEG) with 3 inner branches for extensive aortic arch aneurysm.<bold>Case Report: </bold>A 69-year-old male presented with extensive aortic arch aneurysm involving all supra-aortic vessels. An Ankura thoracic stent graft was modified with 3 inner branches fashioned of Viabahn endoprostheses. The procedure was technically successful, and the patient was discharged with no complications.<bold>Conclusion: </bold>This back-table modification of the off-the-shelf endograft is an especially attractive option for complex arch pathologies with urgency and deemed too high risk for reopen surgery. [ABSTRACT FROM AUTHOR]