RecruitingDevice studyDuke Customized Aortic Aneurysm Repair With Endovascular Stent-grafts - Duke CARES TrialThe purpose of this study is to see if physician modified endovascular grafts (PMEG) can be used safely for the treatment of aortic disorders. The surgeon will modify a commercially available graft tailored to the participant's anatomy for surgery. The researchers will follow participants for 5 years, which will require regular visits to the clinic for follow-up imaging and follow-up blood tests.