The Role of Reoperative Thoracoabdominal Surgery in the Current Era

A balanced comment on the occasion of the latest retrospective nonrandomised Coselli report on redo thoracoabdominal aortic aneurysms (TAAAs).
Raanani mentions the inappropriateness of endovascular techniques for Marfan syndrome patients, on account of high rate of endoleak probably related to the diffuse aortopathy. He also picks up the schism of early and late morbidity, and analyzes the confounders well.
It might be important that such as strong and vocal advocate of open aortic surgery as Joseph Coselli reports inferior nonrandomized long-term mortality of his favored traditional approach. This may impact positively on insurance and reimbursement for hybrid TAAA repairs.