Endografting facilitated by axillary-axillary bypass for distal arch aneurysm after left internal thoracic artery to left anterior descending artery bypass surgery

Preoperative computed tomogram showing the aortic aneurysm on the distal aortic arch: A, horizontal slice; B, 3-dimensional computed tomogram.

Postoperative computed tomogram showing thrombosis of the thoracic aortic aneurysm by means of the stent graft treatment.

Postoperative angiography revealing that the thoracic aortic aneurysm was completely closed by the stent graft (A) and that the axillary-axillary bypass and LITA-LAD graft were patent (A and B).