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Figure 1 | Journal of Cardiothoracic Surgery

Figure 1

From: A modified total arch replacement combined with a stented elephant trunk implantation for acute type A dissection under deep hypothermic circulatory arrest and selective antegrade cerebral perfusion

Figure 1

Modified total arch replacement procedures. A Skeletoned elephant trunk was implanted; B The distal end of the prosthetic graft was anastomosed to the transected aorta wall in a sandwich-like fashion and low-body was reperfused; C The left common carotid was anastomosed and reperfused; D The proximal end of the graft was anastomosed and the perfusion of myocardium was resumed: E-F The innominate and left subclavian arteries were anastomosed.

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