BACKGROUND: We present the case of a 69-year-old female patient with giant aortic aneurysm who underwent previously multiple cardiac surgeries or interventions.
CASE REPORT: Ross procedure was performed in 2006 due to aortic valve regurgitation and aneurysm of the ascending aorta. In 2010 the patient was re-admitted for pulmonary valve insufficiency and a transcatheter pulmonary valve was implanted. Recently, the patient presented with an aortic arch aneurysm, maximum diameter 78 mm, which was treated by a hybrid approach, implanting a frozen elephant trunk and a covered stent graft.
CONCLUSIONS: The current case report demonstrates a suitable hybrid option for an extremely demanding procedure by multiple previous cardiac procedures.

Keywords: aortic aneurysm, Chimera, Reoperation