For more detail: www.annalscts.com/article/view/3819/4798 This video looks at the surgical treatment of chronic type B dissection in patients with connective tissue disorders. The combination of chronic dissection, aneurysm formation and connective tissue disease poses major challenges regarding indication for treatment, choice of treatment, and clinical outcome. Video Chapters 00:00:21 Introduction 00:01:07 Incision 00:02:05 Clamp positioning 00:03:34 Graft anastomoses 00:06:31 Completion Cite this article as: Jacobs MJ, Schurink GW. Open repair in chronic type B dissection with connective tissue disorders. Ann Cardiothorac Surg 2014;3(3):325-328. doi: 10.3978/j.issn.2225-319X.2014.05.02 The Annals of Cardiothoracic Surgery (ACS) is a bi-monthly peer-reviewed scientific journal, focusing on the latest clinical evidence and surgical techniques. For more information regarding upcoming issues and manuscript submissions please visit: www.annalscts.com.