proposed a creative new approach (for treatment of thoracoabdominal aortic aneurysms) using two invertedabdominal bifurcated stent-grafts in the descendingthoracic aorta, with subsequent antegrade deployment of additional multiple long conduits extendingfrom the iliac limbs into the visceral arteries. A technical modification of this approach proposed by Silveiraet al.11 obviated the need to use two abdominal grafts