Introduction.

Aortic arch pathology has been treated mainly by open surgery, but with high morbidity and mortality. Hybrid endovascular techniques and “chimney” reconstructions are a valid and safe techniques to reduce risk and mortality.

Method.

Two patients with pathology of the aortic arch and contraindication for open surgical management, treated at the Vascular Surgery Service, Hospital Universitario Clínica de San Rafael, Bogotá, Colombia, are presented.

Results.

Two endovascular aortic procedures were performed successfully to treat a ruptured thoracic aneurysm and a symptomatic aortic ulcer, with coverage of the supra-aortic trunks with an endoprosthesis and cannulation of the supra-aortic vessels with covered prostheses and use of the “chimney technique”.

Discussion.

The pathology of the aortic arch is highly complex and is associated with high morbidity and mortality, being the reason that during the last 20 years, different techniques have been developed using percutaneous procedures.

Conclusions.

The “chimney technique” can be performed with successful results in a minimally invasive manner in patients with pathology of the aortic arch, who are not candidates for open surgery.

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