Open Type II thoracoabdominal aortic aneurysm repair: key principles and operative insights

This video demonstrates the second stage of a planned two-stage repair for an extensive Type II thoracoabdominal aortic aneurysm. The first stage comprised sinotubular junction reconstruction and total aortic arch replacement with a frozen elephant trunk. The accompanying commentary is aligned to operative timestamps and focuses on strategy, anatomy, and risk mitigation rather than step-by-step technical instruction.