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This technique was successfully used in 10 challenging consecutive cases with a sustained patency. This hybrid clampless technique for aortic anastomosis represents a useful alternative for challenging lesions unsuitable for a simple open or endovascular treatment. This hybrid clampless technique for aortic anastomosis represents a useful alternative for challenging lesions unsuitable for a simple open or endovascular treatment.A pseudoaneurysm of the proximal right brachial artery is rare, with most caused by penetrating or blunt traum