Long-term survival, valve durability, and reoperation for 4 aortic root procedures combined with ascending aorta replacement

Not only an authoritative 16 year retrospective report on 957 planned aortic aneurysm surgeries from Cleveland Clinic, but a stimulating critique ( pages 771-774) with Tyrone David who was the invited discussant of the manuscript at its presentation at the AATS last April. The debate on selective criteria on replacing an aorta with a diameter of 46mm are particularly interesting (page 772).