1. An unusual combination of cardiovascular surgical disorders
Hassan Najafi, MD, David Overman, MD, Clifford J Kavinsky, MD 
The Annals of Thoracic Surgery 
Volume 67, Issue 1, Pages (January 1999)
DOI: /S (98)

2. Fig 1
Preoperative aortogram showing modest aortic regurgitation, supravalvular aortic stenosis, and aneurysms involving the ascending aorta, the arch, and the entire innominate and left common carotid arteries.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3. Fig 2
Operative photograph showing multiple aneurysms involving the ascending aorta, the arch, and the innominate and left common carotid arteries.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

4. Fig 3
Operative photograph showing the transected ascending aorta cephalad to the supravalvular aortic stenosis. The aortic leaflets are deficient and the sinuses of Valsalva are obliterated by aortic constriction at the commissural attachments.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

5. Fig 4
Schematic drawing demonstrating the operative design chosen to reconstruct the aortic and brachiocephalic continuity.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

6. Fig 5
The operative photograph showing the completed procedure: The aortic graft (A), with an arrow pointing to the end-to-side anastomosis between the graft and the descending aorta; the side limb replacing the innominate artery, (B); and the right carotid to side-limb anastomosis (C). Not seen is the end-to-end anastomosis between the side limb and the right subclavian artery.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )