I would like to ask:
What is the context of your Aatrox build, items and runes and spells wise? Are you the bulldozer for the team, or the flanking threat looking to smash the enemy team's backline?

I am considering playing Aatrox as my first top lane choice, in fact the first laner to backup my Soraka support main role. I keep Conqueror, Last Stand, Revitalize, Second Wind but I use Absorb Life, Legendary: Lifesteal, which I found to be unpopular choices. My purpose for these choices is to help me sustain my laning since I do not have my fundamentals solid and I do not wish to trade much. My ideal items are quite similar to you, except I use Overlord's Bloodmail instead of Death's Dance. I have higher base HP and AD for the healing passive of E and it bumps up as I tank more damage, which aids Aatrox's monstrous healing as well when having Revitalize buff. In theory and the first practice, my early laning is a bit tricky at first, but my late game sustain will improve in theory because I have lifesteal legend plus my E passive to auto attack, I too have Q healing, I have better resistance to suck crowd control for my team and still bounce back quick for healing.

What are your thoughts?