Fig. 4.

The overall procedure of the patient. A and B: the aortogram before stent graft deployment; the proximal entry tear was distal to the LSCA and there was a huge aneurysm. C: the aortogram after stent graft deployment; the huge aneurysm was completely sealed. The origins of the left carotid artery and LSCA were covered because of the short proximal landing zone. D: selection of the LCCA with a Judkin right 5 Fr catheter through the right femoral artery. E: stent deployment in the LCCA by the chimney graft technique. F: the aortogram after successful stent graft deployment: There was no endoleak. LSCA: left subclavian artery, LCCA: left common carotid artery.