A 46- year old male, during intense physical activity, sustained
malperfusion of the lower extremities from Type A thoracic aortic
dissection. We took him to the operating room. emergently and perfusing
both lower extremities using a modified straight graft with side to side
anastomosis to one limb and end to side anastomoses to the inflow
perfusion and contralateral limb. The patient was successfully
discharged and remained to be doing well. for four years.