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Ann Thorac Surg 2002;73:1023
© 2002 The Society of Thoracic Surgeons

Correspondence

Spinal cord protection during descending aortic aneurysm repair

Teruhisa Kazui, MDa

a First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1, Handayama Hamamatsu, 431-3192, Japan

e-mail: tkazui@hama-med.ac.jp

To the Editor

I read with great interest the recent article by Dr Estrera and colleagues [1]. In a series of 148 patients, they found that the combination of cerebrospinal fluid (CSF) drainage and distal aortic perfusion protects the spinal cord more effectively than either of these methods applied alone during operations on descending aortic aneurysms. I have a few comments on some important aspects of this study.

The authors address a very pertinent issue in that CSF drainage with distal aortic perfusion has a role in protecting the spinal cord during operation for a thoracoabdominal aortic aneurysm or when the aortic cross-clamp time is too long. In fact, for longer . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
A. L. Estrera, C. C. Miller III, E. P. Chen, R. Meada, R. H. Torres, E. E. Porat, T. T. Huynh, A. Azizzadeh, and H. J. Safi
Descending Thoracic Aortic Aneurysm Repair: 12-Year Experience Using Distal Aortic Perfusion and Cerebrospinal Fluid Drainage
Ann. Thorac. Surg., October 1, 2005; 80(4): 1290 - 1296.
[Abstract] [Full Text] [PDF]


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