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Original Articles: Adult Cardiac

Invited Commentary

Section of Cardiac Surgery, Yale University School of Medicine, Boardman 2, 333 Cedar St, New Haven, CT 06510

(Email: john.elefteriades@yale.edu).

The first 20% of the full text of this article appears below.

This article presents further experience with the "frozen elephant trunk" technique for ascending aortic dissection [1]. The authors are to be commended for their development of this technique and the pertinent specialized hybrid endograft–conventional graft. (We should note that one of the authors has disclosed a financial interest regarding the manufacturer of this device.) The authors are to be congratulated for their excellent clinical results.

There are several weaknesses of this study. The analyses of these patients really should have been confined only to those with acute type A aortic dissection. The contamination with chronic cases, degenerative aneurysms, descending pathology, and penetrating ulcers makes interpretation difficult. The follow-up is short, as is obligatory with the new technology. Also, it is unclear how this technology can be applied without a total arch replacement, which the authors indicated was the case in nearly . . . [Full Text of this Article]

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