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Hybrid aortic arch repair with initial debranching procedure. End-to-side Y-graft from ascending aorta, end-to-end anastomoses to brachiocephalic artery and left common carotid artery; extraanatomic left carotidsubclavian bypass; and thoracic endovascular aortic repair (TEVAR, proximal landing zone [PLZ] 0). 

Hybrid aortic arch repair with initial debranching procedure. End-to-side Y-graft from ascending aorta, end-to-end anastomoses to brachiocephalic artery and left common carotid artery; extraanatomic left carotidsubclavian bypass; and thoracic endovascular aortic repair (TEVAR, proximal landing zone [PLZ] 0). 

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Article
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Management of aortic dissection with a novel endovascular technique known as thoracic endovascular aortic repair (TEVAR) paired with surgical debranching as a less invasive alternative to conventional repair has gained widespread acceptance. However, experience for complicated, Stanford type B dissection involving the aortic arch is still limited.

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