fig9

Figure 9. CTA showing an acute TBAD in a highly angulated type III aortic arch with no adequate sealing zone in zone 1 or 2, and requiring an extensive coverage of the aortic arch with a proximal landing zone in zone 0 (A). Final result 3D reconstruction of the hybrid treatment with a single branched arch endograft and supra-aortic trunks debranching (right common carotid artery-left subclavian artery bypass and left common carotid artery reimplantation on the graft) (B).