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Ann Thorac Surg 2001;72:486
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a Department of Thoracic Surgery, Hospital of the University of Pennsylvania, 6 Silverstein, 3400 Spruce St, Philadelphia, PA 19104, USA

This paper documents the results of 148 patients operated on for thoracic (ie, not thoracoabdominal aneurysms) aneurysms between February 1991 and February 2000. This study excluded all emergency procedures requiring an open proximal aortic arch, or hypothermic technique, or the inability to place a proximal cross-clamp. This is a fairly straightforward and simple retrospective study.

The fundamental findings corroborate the relentless findings by most groups this decade performing thoracic aortic surgery, namely that the addition of distal aortic perfusion with cerebrospinal fluid (CSF) drainage has more spinal cord protection than a straight . . . [Full Text of this Article]

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