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You can just start with Long Sword + 3 Health Potion and I still recommend you to add boots and consider more defense items just out of knowledge.
I recommend you running 9 Greater Mark of Attack Damage, 9 Greater Seal of Armor or against AP 9 Greater Seal of Scaling Health, Greater Glyph of Magic Resist or Greater Glyph of Scaling Magic Resist and Greater Quintessence of Attack Damage or Greater Quintessence of Attack Speed.
You didn't use all 30 points in the Masteries so I recommend you going for Block , Recovery , Unyielding , Veteran Scars and Juggernaut .
Still the point I disagree the most with next to Runes are items. I just consider you building more like this as a suggestion: Mercury's Treads/ Ninja Tabi, Blade of the Ruined King, Randuin's Omen, Spirit Visage/ Banshee's Veil, Ravenous Hydra, Guardian Angel.
Second, It's "Health Pack" of course their is a lot of life steal.
Third, you did not read starting item note saying "this is how I start, if you have a better start, use that."
Fourth, which runes do you recommend? I'm apparently not familiar enough with runes. I focus on the runes being Attack because I'm more of an auto-attack person and want to maximize as much damage as possible.
Fifth, for your masteries, what did you do on Defense that I missed?
Sixth, you also did not read note for skills because I said you could max blades first if you prefer that over the life steal and extra damage.
Seventh, I'm going to add more in the future so thank you for your helpful advise.
-quietshift
Talking about Runes again you take pure offense and Armor Penetration, Crit Chance and Hybrid Penetration are poor stats on Aatrox.
You can max Blades of Torment too and 21/9/0 Masteries are optimal.