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Endovascular repair is not possible once the dissection runs to the aortic arch. We explain three patients with intense type B aortic dissection complicated by retrograde arch extension and visceral malperfusion have been effectively addressed with a complete arch replacement and frozen elephant trunk area. In patients with intense complicated type B aortic dissection without adequate proximal landing zone, thoracic endovascular aortic repair (TEVAR) just isn't possible. Although some simple patients with retrograde aortic arch extensi
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