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Microsurgical steps during venous pouch arterial bifurcation aneurysm creation. A, Suturing sequence at the posterior aspect of the anastomosis: 1) right to left CCA, 2) venous pouch to left CCA, 3) venous pouch to right CCA. B, Suturing sequence at the anterior aspect: 4) right to left CCA, 5) venous pouch to left CCA, 6) venous pouch to right CCA.
