The title compound, (3S,4S,5S,9S,11R,12R,15R,17S)-4-[(t-butyldimethylsilyloxy)methyl]-1,3,5,9,11,12,15,17,19-nonahydroxy-3,5:11,12:15,17-tri-O-isopropylidene-19-O-(4-methoxybenzyl)-9-O-[(2-methoxyethoxy)methyl]-7-nonadecanone (1) was effectively synthesized through the coupling of (3S,5R,8R,9R,11S)-12-iodo-3,5:8,9-di-O-isopropylidene-1-O-(4-methoxybenzyl)-11-O-[(2-methoxyethoxy)methyl]-1,3,5,8,9,11-dodecanehexol (2) and (3S,4R,5S)-4-[(t-butyldimethylsilyloxy)methyl]-3,5-O-isopropylidene-1,1-bis(methylthio)-1-trimethylstannyl-6-heptene-3,5-diol (36). The C-13–C-19 segment 36 was enantiospecifically synthesized from 1,2:5,6-di-O-isopropylidene-α-d-thero-d-glycero-3-hexofuranosulose (7) via (2S,4R,5S)-5,6-epoxy-3-[(t-butyldimethylsilyloxy)methyl]-1-hexen-3-ol (6a) in 11.6% overall yield.