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To the Editor: Aortic arch surgery for acute aortic dissection is conventionally performed through median sternotomy. To date, there have been no reports of using upper hemisternotomy to repair Type A dissection. The main concern is the safety of using a minimally invasive approach for such a high‐risk surgery.[1] Here, we introduce a technique to perform a preferential reconstruction of the arch vessels with complete cerebral perfusion technique during hypothermic circulatory arrest (HCA) to improve neuroprotection.

Total Arch Replacement and Frozen Elephant Trunk Implantation for Acute Type A Dissection Using Complete Cerebral Perfusion and Upper Hemisternotomy