OPERATOR: Jeng Wei, MD, MSD; Cheng-Hsin General Hospital PATIENT: 46-year-old male DIAGNOSIS: Chronic type A aortic dissection with intimal tear at the aortic arch, s/p axillo-femoral bypass due to small true lumen OPERATION: Reconstruction of ascending aorta, aortic arch, and proximal descending thoracic aorta with vascular ring connectors ,Vasoring, and elephant trunk in type A aortic dissection. PROCEDURE: 1. Bil carotid artery and Lt femoral artery for ECC 2. Occlude the arch arteries, Incise the ascen
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