Abstract
Acute type A aortic dissection (ATAAD) following percutaneous closure of a patent ductus arteriosus (PDA) is an exceedingly rare complication, with no documented successful treatment outcomes in the existing literature. We report a successful case of surgical repair for ATAAD in a 74-year-old male patient who had previously undergone percutaneous PDA closure. Utilizing a translocated total arch replacement with frozen elephant trunk (FET) technique, we achieved chronic aortic remodeling without the need to remove the PDA closure device.