Schematic diagram of the construction used in this patient: Large waved area: 2 subsequent endoprostheses (Valiant Captivia, Medtronic, Minneapolis, Minnesota, USA) overriding the brachiocephalic trunk. Small waved area: 2 Advanta V12 stents from the ascending aorta, entering the brachiocephalic trunk. Dotted area: U-shaped Viabahn stent allowing blood to enter the LCCA from the brachiocephalic trunk. Arrows: blood