Jpn. J. Vasc. Surg., 12: 485-488, 2003  
 
Fig. 1 Computed tomograpy (left) and Aortogram (right) showed saccular aneurysm in the distal aortic arch.
 
Fig. 2 The left common carotid and left subclavian arteries are exposed through a transverse supraclavicular approach. Left subclavian to left common carotid transposition was performed prior to subclavian to subclavian bypass.
 
Fig. 3 Aortogram after the surgery
 
Fig. 4 Computed tomograpy 6 months after surgery. Saccular aneurysm in the distal aortic arch was disappeared