This article summarizes key nursing considerations for a patient who experienced delayed emergence from anesthesia after coronary artery bypass grafting for acute Stanford type A aortic dissection.Key nursing points include multimodal brain function assessment with close monitoring for changes in consciousness; prevention of increased cerebral oxygen consumption due to temperature abnormalities; staged target blood pressure management; maintenance of adequate oxygen saturation and prevention of transient hypoxemia; and dynamic adjustment of anticoagulant and antiplatelet therapy to minimize postoperative bleeding.With meticulous medical and nursing management, the patient regained consciousness on postoperative day 4, was extubated on day 9, and was transferred to a general ward on day 25.