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Ann Thorac Surg 2002;73:743-744
© 2002 The Society of Thoracic Surgeons

Invited commentary

^a Section of Cardiothoracic Surgery, Yale University School of Medicine, 333 Cedar St, 121 FMB, New Haven, CT 06510, USA

e-mail: john.elefteriades@yale.edu

Elective surgery for the thoracic aorta has become safer than ever before [1, 2]. Much of this improved safety is due directly to improvements in hemostasis. Routine use of activated clotting time (ACT) to guide heparin reversal use of antifibrinolytic agents, advent of water-tight collagen-impregnated grafts, and availability of biological glues have all contributed to hemostatic enhancement. As aortic surgery has become safer and more routine, attention has become focused on blood conservation in aortic surgery, which previously took . . . [Full Text of this Article]

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