Joo HC, et al. - This study was performed to assess the clinical outcomes of different surgical approaches to patients with proximal descending thoracic aneurysm (DTA) involving the distal arch. Findings revealed that compared to the thoractomy or hybrid approaches, the sternotomy approach led to better outcomes in terms of operative mortality and stroke, as well as long-term survival. Thereby suggesting the sternotomy approach to be the superior option for these patients.