Abstract
Surgical treatment of acute aortic dissection in a patient with acute cerebral hemorrhage is rare. A 65-year-old man was diagnosed as having cerebral hemorrhage with right hemiplegia and aphasia. Furthermore he was diagnosed type A acute aortic dissection. Emergency surgery with cardiopulmonary bypass was contraindication for acute cerebral hemorrhage. After he got hypotension care for two weeks ascending aorta replacement was conducted. Postoperative coarse was stable. He was discharged on postoperative day 14 without worsening of right hemiplegia or dysphasia.
