This study is testing a new device called the **GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE)**. It's used to treat certain types of bulges or ballooning in the large artery called the aorta. These bulges, called aneurysms, can be dangerous if not treated. The study has two parts: one for people who need just the TAMBE device, and another for those who need both the TAMBE and another device called the CTAG. To join, you must have a specific type of aneurysm and be at least 19 years old. Some medical conditions might prevent participation, like previous surgeries on the aorta or certain infections.

Key Points:

• The study aims to have between 122 and 202 participants.
• Participants need to follow the study requirements and attend follow-up visits.
• Some health conditions may exclude you from participating, such as certain heart diseases or allergies.