Introduction
Proximilisation of Frozen Elephant Trunk (FET) from zone 3 to zone 2 necessitates rapid evolving surgical skills to match device use and technology application. However, ligation and reimplantation of the left subclavian artery (LSA), the origin of which is distal and posterior, make rerouting difficult and cumbersome. Despite, several methods being described in the literature [1], no single approach has been ascribed to as providing optimal access and ease of use. We describe a rather simple technique for subclavian artery exposure and anastomosis coupled with hybrid FET utilisation for aortic aneurysm in elective and non-elective settings.