Commentary: Open versus clamp-on distal anastomosis techniques in acute type A aortic dissection: The ship has already left the port

Abstract

Open distal or clamp on to repair type A aortic dissection? Only a careful and well-designed comparative analysis can provide an answer to this complicated question.

Commentary: Management of mesenteric malperfusion syndrome in patients with type A aortic dissection: An unsettled issue

“…We believe that this is the way forward, and once again we endorse the crucial role of dedicated specialized aortic centers in the modern treatment of acute aortic syndromes. 9 As already demonstrated by other studies, 10 such centers provide better care for patients with ATAAD and have significantly improved outcomes in treating these very complex diseases.…”

Commentary: Aortic surgery in patients with Loeys–Dietz syndrome: When, why, and how?

“…5 The new standardized techniques of cerebral protection together with the increasing enrollment of the right axillary artery as a site of arterial cannulation for total arch replacement have shown a significant reduction of postoperative cerebral events compared with the more traditional deep hypothermic circulatory arrest without any cerebral protection. 6 In this context, it seems important to mention the constant development of new branched prostheses, which increases the surgeons' armamentarium in the treatment of complex aortic arch pathology, reducing the risk of procedural failure. 7 The main limitation of the study is the lack of uniformity in the indication for redo surgery, mainly because the authors report the reinterventions that were performed on the study population, whether surgery was performed at Johns Hopkins Hospital or elsewhere.…”