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.