Abstract
We present the case of a 68-year-old male patient
who experienced a sudden onset of severe back pain
and was subsequently diagnosed with a Stanford type
B acute aortic dissection extending into a 45-mm
abdominal aortic aneurysm, as confirmed by computed
tomography. There was no evidence of aortic rupture
or persistent pain. The patient was initially managed
with strict medical therapy for one month and later
successfully underwent graft replacement of the
abdominal aorta using a double-barreled proximal
anastomosis technique to preserve perfusion to the
major abdominal organs. The postoperative course
was uneventful, and the patient was discharged on the
14th postoperative day.