Conclusion
E-vita open plus and successors alleviate frozen elephant trunk operations rendering more stable results in promoting positive remodelling of the distal aorta. In patients with aortic dissections the remodelling of aorta favor a long term freedom from reintervention or reoperation upto the segment of stent graft. [16] (Fig. 2). Livelong surveillance is required to detect the development of downstream pathologies due to persistent type III dissection with false lumen growth either after acute or chronic dissection (Fig. 2). In case of thoracoabdominal aneurysms, where a planned second stage intervention or operation is warranted, endovascular treatment and even open surgery is facilitated due to the midthoracic docking station within the distal part of the E-vita stent grafts.