Fenestrated and branched technology for endovascular aortic repair of the thoracoabdominal aorta and aortic arch has evolved significantly over the last decade. The spectrum of these devices is largely available outside the United States (US), while patient-specific company manufactured devices are limited to ten sites in the US, with ongoing expanding use of market-approved off-the-shelf devices. The necessary environment for appropriate education to ensure safe dissemination of these technologies is limited, and the current centralization of both device availability and skillsets affects trainee education. In order to refine their endovascular treatment algorithm and planning/implantation skillsets at these multidisciplinary aortic centers, senior-level surgical trainees and early-to-mid career surgeons have looked transatlantic to gain exposure to this technology. This international aortic training is available as both formal and informal super-fellowships but limited in number. Significant clinical and professional benefits can ensue from such an experience, however there are challenges that must be overcome. Herein, we describe the right candidate, ideal program and mentor, goals of the fellowship, and funding opportunities for a US-based, senior-level surgical trainee or early-to-mid career vascular or cardiothoracic surgeon interested in a nonaccredited aortic super-fellowship abroad.

Surgery

Super-fellowship

Mini-sabbatical

Vascular surgery

Cardiothoracic surgery

Aorta

International

© 2025 The Author(s). Published by Elsevier Inc.