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Patch neointima technique is a modified valve-sparing aortic root repair surgery for acute type A aortic dissection and the short-term outcomes are satisfactory. The mid-term outcomes have not been reported. From January 2009 to December 2012, 147 patients underwent valve-sparing aortic root repair with the patch neointima technique for type A aortic dissection in our center. The mid-term outcomes of the patients were evaluated by echocardiography and aortic computed tomography angiography (CTA). Of 147 patients, 32 patients (21.8%) und