Proximilisation of Frozen Elephant Trunk (FET) necessitates the ligation
and reimplantation of the left subclavian artery (LSA), the origin of
which is distal and posterior, make rerouting difficult and cumbersome.
We describe a rather simple technique for subclavian artery exposure and
effective anatomical reconstruction in the mediastinum coupled with
hybrid FET utilisation for aortic aneurysm in elective and non-elective
settings. The division of the sternocleidomastoid coupled with the
sandbag behind the left shoulder brings the LSA superficial enabling
anastomosis without any difficulty.