Making the Gestalt More Rigorous-Is less still more?

Advances in complex aortic surgery with the introduction of new devices and composite grafts have continued to improve not only survival but also end-organ perfusion and neurologic outcomes. Especially at high-volume centers, total arch replacement, with or without frozen elephant trunk, is being used with increasing frequency to address arch pathology, even in the setting of acute type A aortic dissection (ATAAD). Proximal vs Extensive Repair in Acute Type A Aortic Dissection SurgeryThe Annals of Thoracic SurgeryVol. 116Issue 2PreviewThis purpose of this study was to evaluate the impact of proximal vs extensive repair on mortality and how this impact is influenced by patient characteristics. Full-Text PDF