05 April 2026
: Case report 
Arch-First Technique for Extensive Thoracic Aortic Replacement: A Case Series of Patients With Complex Thoracic Aortic Disease
Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Vlasios Karageorgos ABCDEF 1, Matias Matthew Chamogeorgakis ABEF 2, Konstantinos Ieromonachos BCDEF 2, Antigoni Koliopoulou BDEF 2, Nikolaos A. Papakonstantinou
BCDEF 2, Panagiotis Latsonas BCDEF 2, Eris Ntylgia BCDEF 2, Athanasios Katsargyris BCDEF 3, Christos Klonaris BCDEF 3, Themistoklis Chamogeorgakis ABCDEFG 2*
DOI: 10.12659/AJCR.951286
Am J Case Rep 2026; 27:e951286
Figure 3 Intraoperative view of completed arch-first anastomoses. Intraoperative view of the arch-first technique demonstrating completed anastomoses of the supra-aortic vessels to the branched Dacron graft, as well as the distal anastomosis (blue arrow) of the graft to the proximal descending thoracic aorta.