Presented herein is a clinical observation of a patient presenting with type I aortic dissection extending to the brachiocephalic trunk, closing down and occluding the ostium of the right subclavian artery, dissection with occlusion of the opening of the left common carotid artery, as well as dissection of the right iliac artery with the stenosing thereof. The patient was subjected to a two-stage surgical intervention: the first stage consisted in the subclavian-carotid prosthetic reconstruction on the left for revascularization of the brain; the second stage consisted in prosthetic reconstruction of the aortic valve, the ascending portion and the arch of the aorta, and the brachiocephalic trunk.