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Objective:We presented initial results of less invasive quick replacement(LIQR)with moderate hypothermic arrest without cerebral perfusion followed by aggressive rapid re-warming to shorten the duration of brain ischemia,cardiopulmonary bypass(CPB),and overall surgery(JTCVS 2008).We then assessed the mid-term outcomes and quality of life for octogenarian patients who undergo the LIQR for type A acute aortic dissection(AAD).