Diseases of the thoracic aorta, especially aortic arch pseudoaneurysms pose a significant risk for the patient in the absence of an intervention. The fact that patients frequently have some other accompanying pathologies Increases the risks of this intervention. Significant morbidity and mortality develops following conventional surgical repair of aneurysms of aortic arch. In this article. we report endoluminal stent-graft placement in a dialysis-dependent 85-year-old man with a giant pseudo-aneurysm of proximal descending aorta and chronic pulmonary disease.