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Endovascular salvage of the condition required an aortic Ishimaru zone 2 deployment of the thoracic endovascular aortic repair stent graft to provide an adequate landing zone. The elective left subclavian artery revascularisation was obtained by a left carotid artery to left subclavian artery bypass. Post procedure there was complete exclusion of the pseudoaneurysm sac, and the fistulous aorto-venous communication inflow tract. The patient recuperated well and has returned to full active duties.<\/jats:p>","DOI":"10.1136\/bcr-2024-260184","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T02:55:11Z","timestamp":1711162511000},"page":"e260184","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Complex aortic-arch pseudoaneurysm with aorto-innominate vein fistula in a case of traumatic chest injury"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2635-5523","authenticated-orcid":false,"given":"Rohit","family":"Mehra","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Command Hospital (Southern Command), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranati","family":"Swain","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Command Hospital (Southern Command), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department Radiodiagnosis, Command Hospital (Southern Command), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhanalakshmi","family":"Balasubramaniam","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Army Institute of Cardio-Thoracic Sciences, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"2025082709263562000_17.3.e260184.1","unstructured":"Arbabi CN , Azizzadeh A . 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