“…However, the mainstream surgical approach for the three supra-aortic branches is hindered by complicated procedures, high time consumption, and significant surgical trauma [ 13 ]. Previously, our team introduced a simplified total arch reconstruction method for extended aortic arch dilation, which yielded satisfactory operative results [ 14 ]. To simplify the procedure and reduce the risk of serious complications associated with TAAD, we designed an innovative in-situ stent-graft fenestration (ISSF) technique for minimally invasive aortic arch reconstruction.…”