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Ann Thorac Surg 2008;86:689. doi:10.1016/j.athoracsur.2007.12.016
© 2008 The Society of Thoracic Surgeons

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Correspondence

Contemporary Conduct of Adult Deep Hypothermic Circulatory Arrest: Possible Roles of Retrograde Cerebral Perfusion, Anesthetic Preconditioning, and Aprotinin

John G.T. Augoustides, MD

Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104-4283

(Email: yiandoc@hotmail.com).

The first 20% of the full text of this article appears below.

To the Editor:

I read with great interest the excellent article of Gega and colleagues [1] detailing their approach to adult aortic arch repair with straight deep hypothermic circulatory arrest (DHCA). Their results suggest the adequacy of straight DHCA without adjunctive perfusion, especially for arrest times of less than 40 minutes. There was, however, a fourfold increase in stroke risk when the DHCA time exceeded 40 minutes (13.1% vs 3.3% p < 0.01): 62.5% of these strokes were classified . . . [Full Text of this Article]


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John A. Elefteriades, Arjet Gega, and John A. Rizzo
Ann. Thorac. Surg. 2008 86: 689-690. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


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Ann. Thorac. Surg.Home page
J. G.T. Augoustides
Invited Commentary
Ann. Thorac. Surg., March 1, 2010; 89(3): 786 - 786.
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Ann. Thorac. Surg.Home page
J. A. Elefteriades, A. Gega, and J. A. Rizzo
Reply
Ann. Thorac. Surg., August 1, 2008; 86(2): 689 - 690.
[Full Text] [PDF]




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