Surgical bypass from the left common carotid artery to the left subclavian artery: Supraclavicular approach.

To create an optimal landing zone (zone 2) in the aortic arch for concomitant or subsequent thoracic endovascular aortic repair of aortic diseases (aneurysm, dissection), surgeons frequently need to debranch the supra-aortic vessels. In this video tutorial, we present an alternative to our 2 other video tutorials for surgical debranching of the left subclavian artery (link; link). Depending on patient-specific characteristics, surgical preference and local experience, the surgeon chooses the approach. Here we show how to safely perform a supraclavicular left common carotid artery-to-left subclavian artery bypass.