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Ann Thorac Surg 1989;48:137-138
© 1989 The Society of Thoracic Surgeons

Articles

Evolution of surgical treatment of thoracic aortic aneurysms

Denton A. Cooley, MD*

Division of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas USA

* Address reprint requests to Dr Cooley, Texas Heart Institute, PO Box 20345, Houston, TX 77225-0345.

Aneurysms of the thoracic aorta remain a challenge to surgeons. My early experience began in 1950, when I excised a large aneurysm in one of Dr Alfred Blalock's patients. The patient survived and was cured. This experience convinced me that aortic aneurysms could be treated successfully by aggressive surgical means; Treatment, however, has changed from the early emphasis on excision of the lesion to the present belief in restoration of circulatory continuity using a suitable Dacron graft, or endoaneurysmorrhaphy.






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