Total aortic arch replacement with a novel 4-branched frozen elephant trunk prosthesis: Single-center results of the first 100 patients

Outcomes are reported for initial use of a 4-branched graft with an incorporated distal stent graft for management of disease of the aortic arch combined with the proximal descending aorta.  Operations were equally distributed among acute dissections, chronic dissections, and aneurysms.  Surgical mortality was 7%, 3-year survival was 81%, and 22% needed additional intervention, much of which was performed endovascularly.
Commentary: 
http://www.jtcvsonline.org/article/S0022-5223(16)30069-1/fulltext
http://www.jtcvsonline.org/article/S0022-5223(16)30060-5/abstract