For replacement of the aortic arch, we use a technique involving a Dacron graft with separate limbs for each of the arch vessels. This allows with resection of the entire aortic arch and separation of each of the arch vessels. Each of these vessels is then sewn to each limb of the trifurcated graft. The aortic arch is replaced with a separate graft, and, when complete, the trifurcated graft is connected to the arch graft. One of our faculty, Dr. David Spielvogel, was instrumental in the development of this technique and has published extensively on its use.