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The purpose of this \u2018Express\u2018 system is prevention of administrative delay and improvement of survival rate of aortic dissection. Here is the process of the \u2018Express\u2019. If an emergency transfer occurs, information of patient such as symptoms and onset time, vital signs, neurologic examination, vasopressor infusion state, central and arterial line state, age, height and weight, ABO blood type, medical and surgical histories, history of taking antithrombotics, departure and arrival time, and CT image was shared among surgeons, anesthesiologists, nurses through phone message. Then, as soon as a patient arrives, he or she directly moves to the operating theater without any delay, and simultaneously we received an informed consent from his or her family protector. Also, our patient had mental change before surgery and we could not have a coversation with her at all. Also, she wanted to be communicated certainly to her protector, her spouse, about any information after surgery. Therefore, written informed consent was obtained from the patient\u2019s spouse for the publication of this case report and accompanying images.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"161"}}