case_images: PMC8057905_01
case_images: Preoperative CTA showed transection of the distal aortic arch.
case_images: CRIVAM2021-6380428.001.jpg
case_images: PMC8057905_01_CRIVAM2021-6380428.001.jpg
case_images: fig1
case_images: II aortic injury). It was located across the origin of the left subclavian artery (Figure 1).
case_images: The first arrow indicates a graft anastomosed to the ascending aorta. The second (thin) arrow indicates endograft in the distal arch and the descending thoracic aorta.
case_images: CRIVAM2021-6380428.002.jpg
case_images: PMC8057905_01_CRIVAM2021-6380428.002.jpg
case_images: fig2
case_images: After completion of partial sternotomy, lowering the blood pressure, a partial clamp was placed on the ascending aorta and an 8 mm Goretex thin-walled, ringed graft was anastomosed in end to side fashion to the aorta (Figure 2).
case_images: The proximal end of the chimney graft in the aortic arch.
case_images: CRIVAM2021-6380428.003.jpg
case_images: PMC8057905_01_CRIVAM2021-6380428.003.jpg
case_images: fig3
case_images: The limb became pale and cold, so a placement of additional Gore Viabahn Endoprosthesis 10 mm x 10cm in the covered LSA was decided (Figure 3).
case_images: Postoperative CTA showed the proper position of the chimney graft inside the LSA (arrow) and the patency of the vessel.
case_images: CRIVAM2021-6380428.004.jpg
case_images: PMC8057905_01_CRIVAM2021-6380428.004.jpg
case_images: fig4
case_images: Postoperative CTA disclosed appropriate position of stent-grafts and adequate flow to the left arm (Figure 4).