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Ann Thorac Surg 1999;67:1595
© 1999 The Society of Thoracic Surgeons

Invited Commentaries

Tam T.T. Huynh, MD, Hazim J. Safi, MDa

a Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Smith Tower, Suite #1603, Houston, TX 77030, USA

e-mail: hsafi@bcm.tmc.edu.

Invited commentary

The development of neurologic deficits remains the most devastating complication in patients undergoing thoracoabdominal aortic aneurysm repair. Despite much effort spent in the search for the optimal method of spinal cord protection, paraparesis and paraplegia still occur in 0.5% of 38% of such cases. Recent advances in the use of adjunctive therapy, however, have had an impact on this dreadful complication. In a rabbit model, Parrino and associates have elegantly demonstrated a near complete prevention of neurologic deficits with hypothermic saline retrograde perfusion containing . . . [Full Text of this Article]


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Spinal cord protection during aortic cross-clamping using retrograde venous perfusion
Patrick E. Parrino, Irving L. Kron, Scott D. Ross, Kimberly S. Shockey, Michael J. Fisher, John R. Gaughen, Jr, John A. Kern, and Curtis G. Tribble
Ann. Thorac. Surg. 1999 67: 1589-1594. [Abstract] [Full Text] [PDF]





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