Dissection for dissection: Limited for deliberate Cabrol fistula or extended for optimal exposure?

In the current issue of the Journal, Zhang and colleagues1 reported their experience in applying the modified Cabrol fistula in surgical repair of acute type A aortic dissection (aTAAD), and the authors should be commended for their good management of this high-risk surgical emergency, especially for their 0% reexploration to check bleeding and low 30-day mortality (2.6%) in the fistula group.1 Although not emphasized in this article, several intraoperative characteristics were also impressive, such as many complex aortic reconstructions involving the root or arch performed and their short aortic crossclamp and selective cerebral perfusion times.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Letter to the Editor Source Type: research