Long-term results of the open stent-grafting technique for extended aortic arch disease Kazuo Shimamura, MD, Toru Kuratani, MD, PhD, Goro Matsumiya, MD,

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Long-term results of the open stent-grafting technique for extended aortic arch disease Kazuo Shimamura, MD, Toru Kuratani, MD, PhD, Goro Matsumiya, MD, PhD, Masaaki Kato, MD, PhD, Yukitoshi Shirakawa, MD, PhD, Hiroshi Takano, MD, PhD, Noriyuki Ohta, MD, PhD, Yoshiki Sawa, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 6, Pages 1261-1269 (June 2008) DOI: 10.1016/j.jtcvs.2007.10.056 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, reconstruction of the left subclavian artery, left common carotid artery, and proximal anastomosis of the 4-branched graft. B, The aortic arch was transected at a predetermined line between the brachiocephalic artery and left common carotid artery, and the stent graft was inserted to the descending aorta. C, The brachiocephalic artery was reconstructed and the procedure was completed The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1261-1269DOI: (10.1016/j.jtcvs.2007.10.056) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Overall survival of all 126 patients. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1261-1269DOI: (10.1016/j.jtcvs.2007.10.056) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from aortic arch–related death. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1261-1269DOI: (10.1016/j.jtcvs.2007.10.056) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions