To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. Acute type A aortic dissection (ATAAD) is a life-threatening condition necessitating urgent surgical intervention. Despite success of first repair, patients may need reoperation for pseudoaneurysm (PsA) at the site of repair. We sought to evaluate the safety and long-term follow-up of a conservative approach to PsA after prior type A dissection repair.