Abstract：
The aortic stent graft dramatically changes the treatment policy of the aortic diseases, including aneurysm and dissection.
The case number of open surgical grafting for aortic diseases without involvement of ascending aorta is decreasing.
Endovascular treatment provided shorter operation time and significantly lower surgical risk.
For acute type A aortic dissection, traditionally, ascending aorta grafting is the gold standard of treatment. Although the AsAo grafting could save the patient's life. Residual arch and descending aorta dissection posed difficult future problems.
With the aortic stent graft, the arch replacement could be done much easier. Currently, for young patients without significant pre-op malperfusion, we can safely replace the aortic arch with concurrent antegrade endografting. Maximizing aortic repair can be achieved without significantly increasing surgical risk. The future re-intervention or re-operation rate could be reduced.