Aortic arch surgery is associated with substantial perioperative risks. New techniques and novel prostheses have been developed to reduce the risks of these procedures. The application of these new techniques has helped to reduce the perioperative risk factors of aortic arch repair. From a technical standpoint, the supra-aortic vessel anastomoses, especially those to the left subclavian artery, can sometimes be technically challenging, resulting in the need for longer circulatory arrest. Therefore, various techniques and devices have been developed in recent years to simplify the supra-aortic vessel anastomosis. A new hybrid graft to simplify the supra-aortic vessel anastomosis during total arch replacement is described.