 A promising treatment for treatment of aortic aneurysm. My name is Shaob Toursawakoui. I'm a Vascular Surgeon at University of Maryland. I'm an Associate Professor of Surgery and Co-Director of the Uric Center. This is drawing outside the lines. Aortic aneurysm essentially is bulging of the main artery that travels throughout your body. The aorta is the shape of a curve that starts from the chest and drives all the way down to the pelvis. The aneurysm happens when you have high pressure in today's piping and the piping slowly gradually expands. These expansions at one point reaches to a critical level that will rupture and rupture often is fatal. To prevent the rupture, there are few ways of treating it. The traditional treatment is an open surgery. The more modern treatment is endovascular treatment, means that we can avoid making any incision and go through the arteries, inside the arteries and perform the treatment or the repair from inside. The Tambi procedure gives us an opportunity to treat the aortic aneurysm somewhere from point A all the way down to point B. There are patients that they are older and frail and they are not capable of tolerating an open surgery. So a Tambi graft that has multiple branches can effectively treat this aneurysm. The shape of the graft is a graft that has four branches. The two top branches, one goes mainly to the liver and spleen. The second branch at the top goes to the small bowel. The two branches at the bottom goes to the kidneys. One for the left, one for the right side. This graft is completely collapsed. It's the shape of a very large straw like this. This graft can be pushed through the groin to the location of the aneurysm somewhere around here. This graft then opens like an umbrella inside the yorda and then from the top will come in and we build these branches into the corresponding arteries. Then from the top we can expand this graft further up to the upper chest and further down, down to the pelvis. The entire surgery can be done endovascularly which means we can avoid performing any incision and patient can wake up with just having needlepokes in groins and upper extremity and the entire yorda is treated that way. Tambi is an effective treatment for trachealabdominal aneurysm. This procedure is being done at University of Maryland multiple times. The outcomes are excellent and our patients are very happy with the procedure.