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  Indian J Med Microbiol
 

Figure 3: (a) Right subclavian–left carotid artery shunt done as the 1st stage of aortic arch replacement in a case of fusiform aneurysm. (b) After excision of an aneurysm. The right axillary cannula perfuses not only the right subclavian and right carotid arteries but also the left carotid artery through the shunt, thus perfusing almost the entire brain. The lower part of the body receives blood through the femoral artery cannula. (c) Note that the left carotid artery has not been anastomosed to the graft, as it is now supplied through the right subclavian-to-left carotid artery shunt (from Panday SR, Parulkar GB, Chaukar AP, and Sen PK. Simplified technique for aortic arch replacement. First-stage right subclavianto-left carotid artery bypass. Ann Thorac Surg 1974;18:186-90)

Figure 3: (a) Right subclavian–left carotid artery shunt done as the 1st stage of aortic arch replacement in a case of fusiform aneurysm. (b) After excision of an aneurysm. The right axillary cannula perfuses not only the right subclavian and right carotid arteries but also the left carotid artery through the shunt, thus perfusing almost the entire brain. The lower part of the body receives blood through the femoral artery cannula. (c) Note that the left carotid artery has not been anastomosed to the graft, as it is now supplied through the right subclavian-to-left carotid artery shunt (from Panday SR, Parulkar GB, Chaukar AP, and Sen PK. Simplified technique for aortic arch replacement. First-stage right subclavianto-left carotid artery bypass. Ann Thorac Surg 1974;18:186-90)