Abstract
A 36-year-old man with Marfan syndrome and a history of Bentall procedure was transferred to our hospital with a complaint of chest pain. Computed tomography revealed type B acute aortic dissection, with a large aneurysm of the ascending aorta (82 mm) and isolated left vertebral artery (ILVA) (Figure 1). We performed emergency total arch replacement and double-branched frozen elephant trunk (FET) surgery.1
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