Pro: “Debate: does every ascending aorta repair require at least an open distal anastomosis at the innominate, Or not?”

Youmust have already read my opponent’s opinion regarding this controversial topicto which he concluded, and I quote: “open distal anastomosis is not alwaysrequired for every ascending aortic repair except cases of acute aorticdissection”. The truth to the matter is far than this Pro-Con Debate andits more intrinsic to the nature of the operation performed, skills anddiscretion of the surgeon, patient selection and associated morbidities, andunderstanding of the value of avoiding the patient “a second look”!