Abstract
Type A dissection surgery revolves around a few basic principles. At the top of that list is excising the intimal tear, a principle echoed by Cohen and colleagues in their publication “Type A Aortic Dissection Repair: How I Teach It.”1 Uimonen and colleagues2 provide a provocative challenge to this most sacred tenet of type A surgery in this issue of The Annals of Thoracic Surgery. They report on over 1000 patients undergoing acute type A dissection surgery at 8 Nordic centers from 2005 to 2014 and conclude that primary tear resection does not determine midterm survival.
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