[Total arch graft implantation with open stent-graft placement for aortic arch aneurysm or dissection].

We have developed and routinely performed the total arch graft implantation with open stent-graft placement for aortic arch aneurysm or dissection. This method is easy and respiratory-troubleless method, because of ascending and arch replacement with 4 branched graft and descending graft implantation with stent-graft from opened aortic arch. This method is useful for the patient with aortic arch diseases concomitant with coronary artery bypass candidate, respiratory dysfunction and aortic dissection.