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006) in the wrapping group but not in the replacement group (0.066mm/year; P=.649). Multivariable competing risk analysis identified the initial ascending aorta diameter at the wrapping procedure as an independent risk factor of proximal arch redilation (0.071±0.037, P.001). The cutoff value was an initial ascending aorta diameter of 47.2mm for the prediction proximal arch redilation (area under the curve, 0.703; P=.014). Aortic wrapping and replacement may be long-term durable treatment options in patients with a moderately enlarged