Images in operation and following. (A) The left subclavian artery was covered, and the stent graft extended to the left common carotid artery. A coil was placed in the proximal left subclavian artery. A right to left carotid-carotid bypass was performed (arrow). (B) Thoracoscopic surgery was performed to dissect and ligate the thoracic duct (arrow). (C) No pleural effusion was noted at the 3-month follow-up.