Objective      To summarize the preliminary experiences of endovascular aneurysm repair in treatment of complex aortic arch and descending aorta disease.       Methods      A total of 33 patients with complex aortic arch and descending aorta disease undergoing operation in our hospital from July 2007 to September 2011 were enrolled. They were 24 males and 9 females

with an age ranging from 28 to 81 years old (mean 61.3±19.5). Among them

19 patients had type B aortic dissection involving the aortic arch

7 thoracic aortic aneurysm

3 thoracic pseudoaneurysme

3 patients of penetrating aortic ulcer

and 1 aorticoesophageal fistula. All patients received endovascular aneurysm repair. There were 12 patients receiving the adjunctive surgical bypass in advance

16 patients undergoing the invasion only covering the left subclavian artery without reconstruction

2 restoring flow of the left subclavian artery in way of using scallop stents

and 3 cases being managed with placement of chimney grafts to reconstruct the left subclavian artery or the left common carotid artery.       Results      Technical success was achieved in all patients. One case was not cured because of postoperative cerebral infarction and renal function failure

and the other were discharged from hospital. During the follow-up period ranging from 2 to 52 months for 30 patients

all of them had a normal life. Dizziness occurred in 3 cases

but rapidly resolved in a month. Computerized tomographic angiography (CTA) during follow-up showed no endoleakage and translocation of the stent grafts. Leaks originally in 6 cases were disappeared

and no more new was discovered. Some thromboses were found in the thoracic aortic false lumen and aneurysm. There was no obvious expansion of the distal part of the dissection. The patency of the bypass grafts and the chimney stents was satisfactory.       Conclusion      Endovascular aneurysm repair is an effective treatment for complex aortic arch and descending aorta disease with satisfactory short-term outcomes.