%0 Case Reports %T Type A Aortic Dissection Following Heart Transplantation. %A Peña AD %A Cadavid EA %A Estacio M %A Moreno-Angarita A %A Olaya HG %A Olaya S %J Braz J Cardiovasc Surg %V 39 %N 5 %D 2024 Jul 22 %M 39038234 %F 1.283 %R 10.21470/1678-9741-2023-0252 %X Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated.