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Since 1997 (after the breakdown of relationships with the patriarchate of Kiev), the Milan Synod included a number of [[Western Rite]] communities, mainly in the United States, who worship according to pre-schismatic (historically Orthodox) liturgical traditions with the support of the Metropolitan and of the [[Holy Synod]] of Bishops. The principal rite of the Synod of Milan is the [[Byzantine Rite]] of the Orthodox Church, celebrated most commonly in the Slavic style but in some parishes in the Greek style.
On February 14/27, 2011, the Synod announced that it had granted full autonomy to its American Dioceses, elevating Archbishop JOHN of New York to the rank of Metropolitan and erecting the [[Autonomous Orthodox Metropolia of North and South America and the British Isles]]([[Synod of Milan]]).
Communion between the [[Autonomous Orthodox Metropolia of North and South America and the British Isles]] - [[Synod of Milan]] and the Mother Church ceased effectively April 4, 2011. The Milan Synod was required by Patriarch Kyril to cease communion with any previous sister churches. The American Metropolia responded by confirming the cessation.