Fig. 2

Schematic illustration of intraoperative maneuvers. A) Supraclavicular approach and LSA to LCCA end-to-side anastomosis (LCCA = left common carotid artery; LSA = left subclavian artery; A = anastomosis); B) Left sided thoracotomy, ligation and transection of intercostal arteries and mobilization of descending aorta (DA = descending aorta; IA = remnants of intercostal arteries; An = aneurysm; T = tape) C)Medline sternotomy and aortic end-to-end repair (AA = ascending aorta; AC = aortic cannula; BA = brachiocephalic artery; LCCA = left common carotid artery; DA = descending aorta; PA = pulmonary artery; A = anastomosis)