Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery and Dr. Sean Lyden, MD, Chairman, Department of Vascular Surgery at Cleveland Clinic’s Sydell and Arnold Miller Family Heart & Vascular Institute discuss the changes in operative strategies for aortic aneurysm repair. As the national trend shows an increase in EVAR and decline in open repair, is it time to review current training programs to see if there is a need for specialized training in complex open aortic repair in high volume centers? Read a summary of the study in ConsultQD.