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To determine outcomes of post-dissection thoracoabdominal aneurysms (pD-TAAAs) by either open or endovascular repair with fenestrated or branched endografts (F/B-TEVAR). A systematic review was conducted for open or endovascular repair of pD-TAAAs, between January 2009 and February 2020. A meta-analysis was performed for post-operative complications and both early and late mortality and re-interventions. 15 non-comparative studies (8 endovascular repair and 7 open repair) were suitable for meta-analysis. Overall 1337 patients were included