E-vita open plus is a modified vascular graft prosthesis, specifically designed for one-stage repair in complex thoracic aortic disease through median sternotomy in an elephant trunk like fashion such as -long-range aortic aneurysms -aortic dissections The E-vita open plus vascular graft consists of a one piece circular woven polyester fabric tube. The proximal segment is crimped identical to conventional vascular graft prostheses commonly used in classic elephant trunk procedures. Distally the vascular graft is supported by nitinol springs sewn to the polyester tube. The crimped proximal vascular graft segment serves as a connection for vascular reconstruction of the aortic arch. The supported elephant trunk section allows repair of the descending aorta during the first stage procedure avoiding a second stage intervention.