MIOT hospital in Chennai saved a thirty-six-year-old man was rushed with the weakest pulse, excruciating back pain and breathlessness condition. The team of doctors replaced the aortic valve and the base of the aorta. They saved a potentially life-threatening condition, in an aortic dissection; there is a tear in the main blood vessel which leads to bleeding into and along the wall of the aorta. This leads to two channels being formed in the aorta itself. There are major risks while undergoing the surgery as five per cent of patients die within an hour. Prolonging the surgery only increases the chances of death. To minimize risk a hybrid graft “Evita,” is used for the first time in India in a single surgery. In the surgery the chest was opened and the patient connected to the heart lung machine. The graft was deployed inside the descending end of the aorta, by interventional radiologist K.Murali. In the last three years, only 100 such grafts have been conducted with good results. The name of the graft is called elephant trunk as it resembles the structure. The frozen word comes from the reinforced pliable metal defining the shape. The surgery conducted by a team effort of Dr. Bashi. He was assisted by V. Harilal, Kannan R. Nair, interventional cardiologist K. Sivakumar, anaesthesiologists Aju Jacob, Jyotsna and Shankar, besides a whole host of perfusionists, nurses and technicians right through the six-hour operation.