摘要Coronary malperfusion associated with aortic dissection is relatively rare,which has been reported at 5.7％-11.3％,[1]but when it occurs,it is fatal to the patient.Despite improved therapeutic techniques for aortic dissection over the years,surgical treatment for the uncommon condition of aortic dissection with coronary malperfusion is still premature.Prompt coronary revascularization and concomitant surgical repair of the aorta are essential for dealing with this problem.To date,the surgical management for this condition relies on various techniques,which include coronary artery bypass grafting (CABG) and repair coronary vessels.[1,2] However,the optimal surgical strategy for coronary revascularization is still debated.In this study,we reviewed our experience with aortic dissection involving the coronary artery in 36 patients,which evolved over a 14-year period,aiming to provide alternative options in the face of this scenario.