The decision was taken to attempt an endovascular aneurysm repair. A femoral access (9Fr) was used to place two covered stents (12x40 Direct Stent-graft®), sealing the aneurysm while preserving patency of the carotid and subclavian arteries, which was confirmed by a control angiography (Figure 2). The introducer was withdrawn and manual compression was applied to the puncture site for 30 minutes, followed by a pressure dressing. The patient was transported to the intensive care unit free from complaints, asymptomatic and with stable vital signs.