Fig. 4

Pre-, intra-, and postoperative image of implantation of the Surgeon- modified fenestrated stent graft (PMSG) with 4 branches reconstruction. A Preoperative CTA of four visceral arteries. B Intraoperative angiography demonstrates catheterization of three visceral arteries. C Intraoperative angiography demonstrates implantation of PMSG with 4 branches reconstruction. D, E, F Postoperative CTA of 4 branches reconstruction in sagittal, right anterior oblique and left anterior oblique position, respectively