Introduction: Older patients in vascular surgery are complex, as they often have multimorbidity. Careful perioperative care is important. Case: An 81-year-old female underwent elective spinal surgery complicated by a postoperative cardiac arrest. Cardiopulmonary resuscitation resulted in rib fractures. After three weeks in acute care and rehabilitation, she represented with chest and jaw pain. On investigation, she was found to have a Type II aortic dissection likely secondary to the trauma from cardiopulmonary resuscitation. She was worked up for an endograft and Thoracic Endovascular Aortic Repair. On follow-up imaging, she had a successful repair of her dissection and no postoperative complications. Discussion: Interdisciplinary care optimised and recovered our patient within our Geriatric Co-management Vascular Model of Care. The perioperative team included Anaesthetics, Operating Room, Radiology, Cardiology, Vascular Surgery, Geriatric Medicine, and Intensive Care. A careful workup was required to control blood pressure, blood glucose, ensure renal protection, and treat iron deficiency. Technical success was improved by mapping access, intraoperative imaging, and device selection. Postoperative risks common among older patients were assessed serially, and prevention strategies were implemented. Conclusion: The older person can experience a cascade of clinical problems. Interdisciplinary care can improve patient outcomes and experience. Reflection on these cases can also deliver important learnings for the vascular surgical team. Keywords: Aortic dissection, Endograft, Thoracic Endovascular Aortic Repair, interdisciplinary