A 56-year-old woman diagnosed with Stanford type A acute aortic dissection was transferred to our hospital. She had struggled with systemic lupus erythematosus that has been treated with glucocorticoid and immunosuppressants for more than 40 years. Additionally, the patient underwent off-pump coronary artery bypass grafting for unstable angina 13 months before, and fenestrated endovascular aortic aneurysm repair for Crawford type IV thoracoabdominal aortic aneurysm 4 months before.
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