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a Department of Cardiothoracic Surgery, University of Athens School of Medicine, "Attikon" Hospital, 1 Rimini St, Haidari, Athens, 12462 Greece
b Missouri Baptist Medical Center, 3009 N Ballas Rd, St. Louis, MO 63131
(Email: ckrokkas@yahoo.com; ntkouch@aol.com).
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To the Editor:
We read with interest the article by Coselli and colleagues [1] on the safety and efficacy of hypothermic circulatory arrest (HCA) in the operative treatment of descending thoracic and thoracoabdominal aortic aneurysms. We congratulate them for achieving these results in a challenging group of patients. The authors did not use HCA on a routine basis for patients with extensive thoracic or thoracoabdominal aortic disease, but selectively in patients whose anatomy and pathology prevented safe clamping of the proximal aorta or in
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M. M. Jones, M. Akay, D. Murariu, S. A. LeMaire, and J. S. Coselli Safe Aortic Arch Clamping in Patients With Patent Internal Thoracic Artery Grafts Ann. Thorac. Surg., April 1, 2010; 89(4): e31 - e32. [Abstract] [Full Text] [PDF] |
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