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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Attempt to approach the right axillary artery failed for severe atherosclerosis (black arrow). Conversion to trans-innominate implantation via ministernotomy (blue arrow). J-shaped incision is performed.