Fig. 2

Intra-operative images. a Vessel loops with tourniquets were placed around the completely freed innominate artery (arrow), left common carotid artery (arrowhead) and innominate vein (asterisk). b The applied mid-arch aorta clamp between the innominate artery and the left common carotid artery. c The schematic diagram of the dual inflow technique; the vascular graft of right axillary and right femoral artery cannulation for the dual inflow source (white box and curved red arrow) with right innominate artery isolation (red square) and applied mid-arch aorta clamp (yellow square)