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. 2020 Nov 5;8(3):49–58. doi: 10.1055/s-0040-1714089

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 3 — Endograft covering ( A ) aortogram prior to deploying thoracic aortic stent shows an aberrant right subclavian artery originating distal to the left subclavian artery, along with the right and left carotid arteries (labeled with arrows). Note that, this is different from the most common aortic arch anatomy with three great vessels originating from the aortic arch: brachiocephalic, left common carotid, and left subclavian arteries. ( B ) The thoracic aortic stent covering the origin of all three vessels after placement. ( C ) Aortogram after pre-TEVAR extra-anatomic bypass from the root of the aorta to the left carotid artery. a., artery; TEVAR, thoracic endovascular aneurysm repair.