An aortic arch double-barreled main body stent graft and methods for its use, where the stent graft comprises, a main body stent graft having distal and proximal ends, the main body stent graft's length ranges from about 50-70 mm and the diameter at the proximal end ranges from about 40-60 mm, first and second lumens defined at the distal end of the main body stent graft, the first lumen's diameter ranges from about 18-30 mm, the second lumen's diameter ranges from about 18-30 mm, the first lumen is secured to the second lumen along a shared length, the shared length of the first and second lumens ranges from about 30-65 mm, and the main body stent graft defines a tubular wall that is contiguous with the first lumen and the second lumen such that any fluid entering the main body must exit through one of the first or second lumens.