Extra-anatomical left common carotid and subclavian artery bypass followed by aortic arch replacement with frozen elephant trunk - De-branching first technique followed by TARFET

The assessed technique enables a less technically demanding surgery with reasonable outcomes. The estimated 5-year aortic event-free survival and reintervention rates were acceptable, suggesting that multiple stages of alternative open and endovascular interventions, such as this technique, may reduce the morbidity and mortality rates of high-risk patients with diffuse thoracic aortic aneurysm.