To evaluate mid-term results of supraaortic transpositions for extended endovascular repair of aortic arch pathologies. Methods: From October 2002 to July 2006, 27 patients (mean age 72 years) with aortic arch diseases were treated (arch aneurysms n = 18, type B dissections n = 5, perforating ulcers n = 4). Strategy for distal arch disease was autologous sequential transposition of the left carotid artery and of the left subclavian artery in 17 patients. Strategy for entire arch disease was t