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Patient 4’s 3D reconstruction showing the previously positioned TEVAR with left carotid–left subclavian artery bypass, the truncus bovinus, and the type IA endoleak (blue arrow) (A). Intraoperative image of the ascending aorta replacement and the debranching with the division of the left carotid artery from the innominate artery (B). Angiography of the final result after Zone 0 landing of the TEVAR with complete exclusion of the endoleak (C).
