“…This case is different from earlier cases in that our patient was much older (71 vs 21–63 years of age), 2 , 3 , 4 , 5 , 6 , 7 , 8 he did not have Marfan syndreom, 2 there was no traumatic event, 3 he survived the redo surgery, 3 , 4 , 6 , 7 , 8 and he initially underwent the Bentall procedure because of nontraumatic aortic dissection. 5 …”