In this issue, we report, talk and discuss on the need to unify criteria for image techniques, the last guidelines on aortic diseases, the need of new predictive models for mortality after aortic surgery, surgical and image techniques challenges, reoperations, the role of medical treatment on these diseases, we show sparing aortic root repairs. We even talk about the problem of health care cost control in Spain and other European countries where there is public and free Health System or the birth of the Star Chamber, an ingenious idea to prevent surgeons from running away from high-risk interventions
