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Editorial comment

University Hospital, Zurich, Switzerland

Received 28 November 2006; received in revised form 25 April 2007; accepted 20 May 2007.

^_* Corresponding author. Tel.: +41 44 2552229; fax: +41 44 2559270. (Email: marko.turina@usz.ch).

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Authors have analyzed the substantial experience of Hannover group with ascending aortic cannulation in that challenging situation, the acute type A dissection [1]. They have utilized the conventional cannulation and suture fixation in the extremely fragile ascending aorta. This represents an action which many surgeons would be reluctant to carry out, given the weakness of the aortic wall in acute dissection. The aorta might spontaneously rupture at any moment in the first hours after onset of dissection, and can be often observed to ooze blood when the pericardium is opened. The achieved results are impressive, although the 30-day mortality of 15% falls into the middle range, and lower mortalities have been reported in recent years with subclavian cannulation . . . [Full Text of this Article]