A 79-year-old woman was admitted with a large chronic dissecting ascending aortic aneurysm starting 5 mm distal to the ostia of the left coronary artery and ending immediately proximal to the innominate artery. A reverse extra-anatomic aortic arch debranching procedure was performed. During the same operative time. through a transapical approach. https://www.ealisboa.com/super-find-2009-2014-Dodge-Ram-1500-4pc-Bolt-on-Rivet-Style-Spyder-Fender-Flares-hot-value/