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Construction of a temporary parallel cerebrovascular circuit for cerebral protection during redo-sternotomy and aortic arch reconstruction with (a) a left common carotid to left subclavian artery transposition (inside red circle); (b) a three-limbed graft to the mid-left common carotid artery, right common carotid artery, and right subclavian artery (red arrows); and (c) a pump used as inflow, connected to the three-limbed graft (bottom center and left).
