One of the highlights of the day two programme was a live case from CX Symposium co-chair Dittmar Böckler (Heidelberg, Germany) and team, who presented a live open repair of an abdominal aortic aneurysm (AAA) in a young patient with Marfan syndrome. “Treatment of young patients with connective tissue disease is always a challenge,” says Böckler, who emphasises that the age of the patients requiring intervention necessitates “optimal treatment with the longest durability we can obtain”.