Aortic arch pathologies are possible life-threatening conditions with demanding management caused, in general, by anatomic aspects as well as patient’s age and comorbidities. We present the case of a 59-year old male with dissected aortic aneurysm involving the aortic arch and descending thoracic portion. Hybrid intervention was performed, more precisely aortic arch debranching using polyester prosthesis and subsequently stent implantation at the level of aortic arch and descending thoracic aorta with excellent results. This method of approach is safer considering the elimination of cardiopulmonary bypass and deep hypothermic circulatory arrest.