BackgroundThoracoabdominal acute aortic syndrome is associated with high morbidity and mortality. We aim to scrutinize our evolving strategies for acute aortic syndrome (AAS) management using minimally invasive and adaptive surgical techniques over two decades. MethodsThis is a longitudinal observational study at our tertiary vascular centre from 2002 to 2021. https://www.roneverhart.com/ACE-JAGT-Black-Canvas-Micarta-Satin/