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Ann Thorac Surg 2004;78:2032
© 2004 The Society of Thoracic Surgeons
Catholic Medical Center, 100 McGregor St, Manchester, NH 03102, USA
baribeau@nhheart.com
westbrook@nhheart.com
| The first 20% of the full text of this article appears below. |
Despite recommendations [1], routine epiaortic ultrasound examination of the ascending and transverse aorta has not been widely accepted. Many still rely on palpation to evaluate the aorta at surgery, although this is less sensitive than transesophageal or epiaortic ultrasonic evaluation, particularly for soft atheromas or mobile debris. Similarly, transesophageal echocardiogram is not as sensitive for examination of the proximal aorta and misses the cross-clamp area because of the tracheal shadow. The study from Dr Schachner and colleagues from Innsbruck is particularly relevant to the surgeon who does not use epiaortic ultrasound routinely, because it demonstrates an
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