Figure 2

Intra-operative images demonstrating our technique of open surgical repair. Intra-operative images (a) Arterial cannulation introduced into the right common carotid artery via an interposed 8mm Dacron graft (b) Identification of Kommerell’s diverticulum and the origin of the right subclavian from within the aortic arch (c) The distal right subclavian artery (RSA) anastomosed to the side branch (10 mm) of the ascending aortic Dacron graft.