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5 Antegrade aortic mid-foot accessibility has become in the past recorded for treatment of distal aortic mid-foot ( arch ) as well as climbing down thoracic aortic aneurysms.3?and?4 Direct access towards the aortic arch can recently been properly attained via aortotomy between the left common carotid and subclavian veins, suturing?the proximal conclusion in the stent-graft circumferentially to the

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