. Type A aortic dissection with inlet at the ascending aorta about 1cm above the sino-tubular junction.2. Dissection involved the ascending aorta only.3. Annulo-aortic ectasia with root diameter about 5.7 cm.4. Barow like mitral valve with P2 leaflet prolapse and moderate to severe MR.5. Pre-op. TEE: Type A aortic dissection with root aneurysm; AR 2+; MR 3+. Post-op. TEE: no AR, no MR, no root aneurysm.6. Post-op. vital signs: BP 100/60 mmHg; sinus rhythm, 96/min; PA 20/12 mmHg;CVP 6 mmHg.