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Ann Thorac Surg 2004;78:2105
© 2004 The Society of Thoracic Surgeons


Original Article: Cardiovascular

INVITED COMMENTARY

Daniel Loisance, MD

Centre de Recherches Chirurgicales, C. H. U. Henri Mondor, Faculte de Medecine, Rue de General Sarrail, 94010 Creteil Cedex, France

The first 20% of the full text of this article appears below.

Surgical repair of aortic dissection in previously operated patients is quite challenging. The Cleveland Clinic reports superb results in this quite infrequent population: early mortality rate is minimal and long-term survival remarkable. The relatively small number of patients in a very unstable situation does not by itself explain these rewarding results. However, the low mortality reflects the quality of patient management both in the preoperative period (proper stabilization of the clinical condition and thorough evaluation) and during surgery (adequate arterial perfusion, fine surgical techniques, and adequate . . . [Full Text of this Article]


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Aortic Dissection After Previous Cardiovascular Surgery
Hitoshi Hirose, Lars G. Svensson, Bruce W. Lytle, Eugene H. Blackstone, Jeevanantham Rajeswaran, and Delos M. Cosgrove
Ann. Thorac. Surg. 2004 78: 2099-2105. [Abstract] [Full Text] [PDF]






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