Intraoperative photos of open repair for patient 1 after B-SAFER procedure, who had Marfan syndrome with a continuous expansion of 7.5 cm descending thoracic aortic aneurysm. A, Left subclavian artery cannulation with an 8-mm Dacron graft. B, Incision into the aorta with visualization of the FET stent graft, left subclavian artery VIABAHN stent (green arrow), and large intimal tear. C, Intra-aortic view after proximal transection of the aorta distal to the stent graft in the left vertebral artery (green arrow). D, View of the left vertebral artery with VIABAHN stent (green arrow). E, Completed proximal anastomosis of the descending aortic Dacron graft to the aortic arch with reimplantation of the left subclavian artery via 8-mm graft.