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Ann Thorac Surg 1999;67:461
© 1999 The Society of Thoracic Surgeons

Commentary

Nicholas T. Kouchoukos, MDa

a Missouri Baptist Medical Center, 3039 North Ballas Road, St. Louis, MO 63131, USA

e-mail: ntkouch@aol.com

Invited commentary

It is now clearly established that severe atheromatous disease of the ascending aorta and the aortic arch is the strongest predictor of postoperative neurologic events after cardiac surgical procedures using cardiopulmonary bypass in adult patients, especially the elderly. The presence of atheromatous disease in these areas is also associated with an increased prevalence of preoperative and late postoperative neurologic events.

What is less clear is the optimal method of management of patients in whom . . . [Full Text of this Article]


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Ann. Thorac. Surg. 1999 67: 457-461. [Abstract] [Full Text] [PDF]





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