The aims of the aorta-stent-Registry are:

• participating hospitals (with audit) document all consecutive patients diagnosed with a disease of the distal thoracal aorta that receive one of the following therapies:

1. Endovascular Aorta-Stent-Graft

2. Surgical operation of the distal thoracal aorta

   • Documentation of the indications, the procedural results and the clinical short- and long-term results of the endovascular and chirurgical treatment in day to day hospital routine.
   • Documentation of the operational risk (Euroscore)
   • Documentation of the technical enforcement of the procedure as well as the result of the intervention
   • Documentation of the hospital lethality and the non-fatal serious complications (Spinal Cord Ischemia, SCI, Stroke, TIA, high blood loss etc.)
   • Documentation of medication at hospital discharge
   • Documentation of long-term lethality and non-fatal serious complications (SCI, Stroke, TIA, major bleeding etc.) as well as hospitalization, re-intervention rates and medicinal drug therapy after 30 days, 1, 3 & 5 years.

Inclusion Criteria:

• Patients with significant illness of the distal thoracal aorta (distal Aortic-dissection; TAA; penetrated ulcer; covered perforation; traumatically transection of the distal thoracal aorta) including those that receive an endovascular stent or an open surgical operation.

Exclusion Criteria:

• Missing signed informed consent

Consecutive patients being treated in one of the participating hospitals because of a disease of the distal thoracal aorta