A 10-12% oversizing was estimated. After succesful endovascular implantation, he was discharged to CICU with an uneventful postoperative period and was extubated at postoperative 1st hour. He had intravenous sodium nitroprusside infusion during the first 6 hours in the CICU to keep normotensive. He was given oral aspirin after 6 hours of extubation. On day one, he was discharged to ward where he remained normotensive and symptom-free. We observed the post-implantation syndrome on the postoperative day 2 characterized by malaise, mild fever and backache and leucocytosis with the highest level of 13100/cm3. This phenomenon resolved in 3 days with oral nonsteroid anti-inflammatory agents. On postoperative day 6, he was discharged without any problems leaving the hospital on oral antihypertensive and 300 mg/day aspirin. On outpatient followups, he showed no symptoms or signs related to the initial pathology or the stent-graft implantation. CAT scans taken at 1st, 3rd, 6th and 12th months revealed total thrombosis of the false lumen with compression by the stent-graft without any signs of endoleaks or graft migration. Proximal attachment site just distal to left subclavian artery was perfectly in place. Both grafts including the tube graft in the proximal ascending position and the stent-graft in the descending thoracic position were patent.