The Covid pandemic has its challenges, but there is a silver lining. With many new platforms to share cases and help teach across the globe, we partnered with Avail Medical Systems to do another global ALTO aortic aneurysm repair from ELGX. Thank you to Shelby Colby, Joe Talarico from Avail to make it all happen. Also to Tom Dunn, Ryan Wiley, Eric Gellingher, from ELGX, thx for your partnership and continuing interest and passion to train, despite a pandemic. Special thank you to Jacob’s institute, Pam Marcucci and Dr. Siddiqui who brought the AVAIL system to GVI, Buffalo, NY.