I have read the case report of Concomitant pulmonary thromboendarterectomy and supracoronary ascending aorta replacement by Osman Fehmi Beyazal, et al. with great interest. The limitations and advances of the case are clearly discussed by the authors. It is very promising to know that highly equipped surgical teams that can perform this kind of complex surgeries with great outcomes exist. The preoperative evaluation of the patient was done significantly, and all possible results were measured. All indications for combined surgery were made clear by the authors prior to intervention. I believe that postoperative outcomes were also made very clear.