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Between 2010 and 2020 a total of n = 370 patients underwent surgery for AADA in our division. Of those, n = 120 underwent treatment for aortic root along with proximal arch replacement without resection of this aorta beyond the innominate artery (Control, n = 111) and were when compared with customers whom obtained extra AMDS implantation (AMDS, n = 9). Aortic valve repair was performed in 48.6% (Control) as well as in 55.6% of AMDS clients. Cardiopulmonary bypass (Control 248 ± 76min, AMDS 313 ± 5