Operative videos illustrating the technique for surgical repair of (1) an uncomplicated type A dissection, (2) a ruptured type A dissection, and (3) a type A dissection involving a tear of the RCA ostium. Brief case presentations are followed by an operative video depicting the step-by-step approach for each of these scenarios. Other cardiac surgical videos can be found a the following web sites: http://www.youtube.com/user/heartfixer100 [3] http://www.facebook.com/CardiothoracicSurgeryOperativeVideos [4].