Pecoraro F, et al. – This study presented the mid–term outcomes of thoracic endovascular aneurysm repair (TEVAR) with chimney and periscope grafts (CPG) in supra–aortic branches (SAB). Observations suggested that the chimney and periscope grafts technique was safe in aortic aneurysm disease involving the supra aortic branches, even in an emergency setting using off the shelf devices. Mid–term follow–up results in this high risk population were good, but longer follow–up seemed mandatory before this technique be used in intermediate–risk patients.