There has been significant progress throughout 2014 in cardiothoracic and vascular anaesthesia and intensive care. There has been a revolution in the clinical approach to acute and chronic adult aortic diseases. Contemporary management of adult aortic disease is based on etiology, clinical presentation, extent, and integrated intervention with medical, endovascular and/or surgical measures. Further European guidelines have explored in depth the cardiovascular management in non-cardiac surgery with a thematic focus to reduce perioperative mortality from the leading offender, namely myocardial ischemia. Integrated guidelines address the management of myocardial revascularization including the percutaneous and surgical options. Despite 50 years since the first coronary artery bypass grafting procedure and impressive advances in interventional cardiology, surgical revascularization remains a gold standard for many patients with coronary artery disease. These advances in 2014 will likely further improve perioperative outcomes for our patients.

Anesthesiology and Critical Care Icahn School of Medicine Mount Sinai Hospital New York New York USA

Cardiothoracic Anesthesiology and Intensive Care Department of Anesthesiology and Intensive Care Medicine Institute for Clinical and Experimental Medicine Prague Czech Republic

Cardiovascular and Thoracic Section Department of Anesthesiology and Critical Care Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA

Department of Anesthesiology and Critical Care Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA

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