Berdajs DA, Koechlin L, Reid G, et al. - Researchers here examined if the modified frozen elephant trunk (mFET) procedure yield outcome comparable to the standard approach for DeBakey type I aortic dissection. Among 262 included patients (mean age 62.7 ± 12.4 years) with acute DeBakey type I aortic dissection, 100 (38.2%) were managed with mFET and 162 (61.8%) were managed with isolated ascending aorta and hemiarch replacement (iAoA). Greater in-hospital mortality was noted in the iAoA group after inverse probability of treatment weighting. Subhazard ratio (sHR) for mortality as competing outcome for aorta-related reintervention sHR of 0.52 and neurologic event sHR of 0.45 was significantly lower in mFET. Outcomes here support the value of the mFET procedure as viable alternative surgical treatment modality for DeBakey type I acute aortic dissection with beneficial mid-term outcome.