Fig. 2.

TEVAR with total debranching.

A: Preoperative angiography shows that neck branches are involved with a huge arch aneurysm.

B: The TAG stent graft is deployed from the ascending aorta after total debranching of the neck vessels with a median sternotomy.

C: Postoperative angiography shows that the aneurysm is excluded from the systemic circulation after total debranching and TEVAR.

D: Postoperative CT angiography reveals that the aneurysm is completely excluded from the systemic circulation.