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Introduction
This supplement reflects the experience and opinions of a group of experts on the treatment of diseases of the aorta, presented at the most recent Aortic Symposium in New York in May 2010. Some of the...
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Randall B. Griepp,
Eva B. Griepp
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S1
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| Aortic Root I |
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Treatment guidelines for thoracic aortic aneurysms and dissections based on the underlying causative gene
Thoracic aortic aneurysms leading to acute aortic dissections (TAADs) are a common cause of premature death in the United States. The natural history of ascending aortic aneurysms is to progressively ...
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Dianna M. Milewicz,
Ellen S. Regalado,
Dong-chuan Guo
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S2-S4
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Indications for aortic replacement
This monograph reviews currently accepted criteria for extirpation of the aneurysmal thoracic aorta. Presence of symptoms suffices to justify resection regardless of size. For asymptomatic patients, r...
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John A. Elefteriades
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S5-S9
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Percutaneous aortic valves: Effective in inoperable patients, what price in high-risk patients?
The use of methods for insertion of percutaneous valves has increased more rapidly than anticipated, particularly in view of the fact that there were early problems with both clinical and animal resea...
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Lars G. Svensson
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S10-S13
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Aortic root aneurysm: Principles of repair and long-term follow-up
Objectives: This study was undertaken to examine clinical and echocardiographic outcomes of aortic valve–sparing operations to treat aortic root aneurysms. Methods: From May 1988 to December 2007, a t...
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Tirone E. David,
Manjula Maganti,
Susan Armstrong
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S14-S19
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Principles of aortic valve repair
During the past 15 years, important advances in the field of aortic valve (AV) repair have transformed it from an infrequent and anecdotal exercise to a feasible and attractive alternative to valve re...
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Munir Boodhwani,
Gebrine El Khoury
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S20-S22
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| Aortic Root II |
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Use of the Valsalva graft and long-term follow-up
Objective: The Valsalva graft is a specifically designed Dacron graft that, on implantation and pressurization, generates pseudosinuses of Valsalva. We reviewed a multicenter experience of the reimpla...
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Ruggero De Paulis,
Raffaele Scaffa,
Saverio Nardella,
Daniele Maselli,
Luca Weltert,
Fabio Bertoldo,
Davide Pacini,
Fabrizio Settepani,
Giuseppe Tarelli,
Roberto Gallotti,
Roberto Di Bartolomeo,
Luigi Chiariello
et al.
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S23-S27
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An aortic ring: From physiologic reconstruction of the root to a standardized approach for aortic valve repair
Objective: We suggest standardizing aortic valve repair using a physiologic approach by associating root remodeling with resuspension of the cusp effective height and external subvalvular aortic ring ...
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Emmanuel Lansac,
Isabelle Di Centa,
Ghassan Sleilaty,
Eric Arnaud Crozat,
Olivier Bouchot,
Rachid Hacini,
Dominique Blin,
Fabien Doguet,
Jen-Paul Bessou,
Bernard Albat,
Roland De Maria,
Jean-Pierre Villemot,
Eric Portocarrero,
Christophe Acar,
Didier Chatel,
Stéphane Lopez,
Thierry Folliguet,
Mathieu Debauchez
et al.
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S28-S35
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Valve-preserving root replacement in bicuspid aortic valves
Objective: Bicuspid aortic valve anatomy is associated with aortic root aneurysm in a relevant proportion of patients. These patients require root replacement for prognostic reasons, and the valve may...
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Hans-Joachim Schäfers,
Takashi Kunihara,
Peter Fries,
Brigitte Brittner,
Diana Aicher
et al.
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S36-S40
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Replacement of the ascending aorta in bicuspid aortic valve disease: Where do we draw the line?
During the past decade, there has been increasing attention to the risk of aortic complications associated with bicuspid aortic valve (BAV) disease. BAV is a curious experiment of nature in the biolog...
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Thoralf M. Sundt
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S41-S44
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Aortic surgery symposium 2010 discussions—Session I: Aortic root I and session II: Aortic root II
Moderator: Nicholas T. Kouchoukos, Missouri Baptist Medical Center, St Louis, Mo. Panelists: Dianna M. Milewicz, MD, University of Texas Medical School at Houston, Houston, Tex; John Elefteriades, MD,...
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S45-S51
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| Ascending Aorta |
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Does the dilated ascending aorta in an adult with congenital heart disease require intervention?
Objectives: There is increasing attention to prophylactic replacement of the moderately dilated ascending aorta at aortic valve surgery. Moderate ascending aortic dilatation is common in adult patient...
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John M. Stulak,
Joseph A. Dearani,
Harold M. Burkhart,
Thoralf M. Sundt,
Heidi M. Connolly,
Hartzell V. Schaff
et al.
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S52-S57
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Aortic root reoperations after pulmonary autograft implantation
Objective: To report the results of aortic root reoperations after pulmonary autograft implantation. Methods: All consecutive patients in our prospective Ross research database were selected for analy...
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J.A. Bekkers,
L.M.A. Klieverik,
G. Bol Raap,
J.J.M. Takkenberg,
A.J.J.C. Bogers
et al.
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S58-S63
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The Bentall procedure: Is it the gold standard? A series of 597 consecutive cases
Objectives: We compared aortic root reconstructions using conduits with biological valves and mechanical valves. Methods: Of 597 patients (1995–2008), 307 (mean age 71 years [23–89 years]) had biologi...
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Christian D. Etz,
Moritz S. Bischoff,
Carol Bodian,
Fabian Roder,
Robert Brenner,
Randall B. Griepp,
Gabriele Di Luozzo
et al.
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S64-S70
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| Arch |
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Long-term outcome after aortic arch replacement with a trifurcated graft
Objective: We describe the long-term results of aortic arch replacement using a trifurcated graft, including an assessment of survival, neurologic complications, and graft patency. Methods: A retrospe...
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Moritz S. Bischoff,
Robert M. Brenner,
Johannes Scheumann,
Carol A. Bodian,
Randall B. Griepp,
Steven L. Lansman,
David Spielvogel
et al.
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S71-S76
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Classic hybrid evolving approach to distal arch aneurysms: Toward the zone zero solution
Background: A combined open surgical and endovascular approach to managing aneurysms of the distal aortic arch (hybrid arch repair) is evolving as a viable treatment option. Our aim is to describe a t...
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Joseph Bavaria,
Rita K. Milewski,
Joshua Baker,
Patrick Moeller,
Wilson Szeto,
Alberto Pochettino
et al.
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S77-S80
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Complex thoracic aortic disease: Single-stage procedure with the frozen elephant trunk technique
Objective: Extensive thoracic aortic aneurysms represent a challenging pathology in cardiac surgery. The frozen elephant trunk procedure, combining conventional surgery with endovascular techniques, a...
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Roberto Di Bartolomeo,
Davide Pacini,
Carlo Savini,
Emanuele Pilato,
Sofia Martin-Suarez,
Luca Di Marco,
Marco Di Eusanio
et al.
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S81-S85
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Aortic surgery symposium 2010 discussions—Session III: Ascending aorta and session IV: Arch
Moderator: D. Craig Miller, MD, Stanford University School of Medicine, Stanford, Calif. Panelists: John M. Stulak, MD, Cardiovascular Surgery, Mayo Clinic, Rochester, Minn; Jos A. Bekkers, MD, Cardio...
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S86-S91
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| Dissection |
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Acute aortic syndrome
The term acute aortic syndrome refers to a heterogeneous group of conditions that cause a common set of signs and symptoms, the foremost of which is aortic pain. Various pathologic entities may give r...
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Steven L. Lansman,
Paul C. Saunders,
Ramin Malekan,
David Spielvogel
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S92-S97
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Treatment for malperfusion syndrome in acute type A and B aortic dissection: A long-term analysis
Aortic dissection remains the most frequent and lethal complication of thoracic aortic disease, and although advances in care have demonstrated improved outcomes for patients with acute aortic dissect...
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G. Michael Deeb,
Himanshu J. Patel,
David M. Williams
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S98-S100
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Strategies for subacute/chronic type B aortic dissection: The Investigation of Stent Grafts in Patients with Type B Aortic Dissection (INSTEAD) trial 1-year outcome
Objective: Endovascular stent grafting represents a novel concept for type B aortic dissection both in the acute and subacute/chronic setting, with an unknown effect on outcomes. Methods: In a prospec...
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Christoph A. Nienaber,
Stephan Kische,
Ibrahim Akin,
Hervé Rousseau,
Holger Eggebrecht,
Rossella Fattori,
Tim C. Rehders,
Guenther Kundt,
Dierk Scheinert,
Martin Czerny,
Tilo Kleinfeldt,
Burkhart Zipfel,
Louis Labrousse,
Hüseyin Ince
et al.
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S101-S108
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Thoracic endovascular aortic repair for acute complicated type B aortic dissection: Superiority relative to conventional open surgical and medical therapy
Objective: This study compared outcomes between thoracic endovascular aortic repair and conventional open surgical and medical therapies for acute complicated type B aortic dissection. Methods: From 2...
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Ahmad Zeeshan,
Edward Y. Woo,
Joseph E. Bavaria,
Ronald M. Fairman,
Nimesh D. Desai,
Alberto Pochettino,
Wilson Y. Szeto
et al.
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S109-S115
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Multicenter early experience with extended aortic repair in acute aortic dissection: Is simultaneous descending stent grafting justified?
Objective: In acute type A aortic dissection, the extension of repair to downstream aorta has been controversially discussed. We present the early results of a multicenter study using a hybrid stent g...
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Konstantinos Tsagakis,
Davide Pacini,
Roberto Di Bartolomeo,
Michael Gorlitzer,
Gabriel Weiss,
Martin Grabenwoger,
Carlos A. Mestres,
Jaroslav Benedik,
Stepan Cerny,
Heinz Jakob
et al.
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S116-S120
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| Descending/Thoracoabdominal I |
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Indications for thoracoabdominal aortic surgery
The thoracoabdominal aorta involves varying portions of the thoracic and abdominal aorta. However, problems embracing the thoracoabdominal aorta might already start at the level of the aortic root, th...
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Marc A. Schepens,
Paul A. Verrelst,
Willem Ranschaert,
Eric Graulus,
Daniel J. Meester
et al.
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S121-S124
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Measuring the collateral network pressure to minimize paraplegia risk in thoracoabdominal aneurysm resection
Objective: To minimize paraplegia during thoracoabdominal aortic aneurysm repair, the concept of the collateral network was developed. That is, spinal cord perfusion is provided by an interconnecting ...
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Christian D. Etz,
Stefano Zoli,
Moritz S. Bischoff,
Carol Bodian,
Gabriele Di Luozzo,
Randall B. Griepp
et al.
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S125-S130
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Neuromonitor-guided repair of thoracoabdominal aortic aneurysms
Objective: Monitoring during thoracoabdominal aortic aneurysm repair has included the use of cerebrospinal fluid drainage and motor and somatosensory evoked potentials. We report our experience with n...
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Anthony L. Estrera,
Roy Sheinbaum,
Charles C. Miller,
Ryan Harrison,
Hazim J. Safi
et al.
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S131-S135
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It is not just assisted circulation, hypothermic arrest, or clamp and sew
We have surgically treated 771 patients for thoracic and thoracoabdominal aortic aneurysms since 1983. Our primary effort has been to develop experimentally validated strategies to reduce paraplegia, ...
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Charles Acher
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S136-S141
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Aortic surgery symposium 2010 discussions—Session V: Dissection and session VI: Descending/thoracoabdominal I
Moderator: Joseph E. Bavaria, MD, University of Pennsylvania Medical Center, Philadelphia, Pa. Panelists: D. Craig Miller, MD, Stanford University School of Medicine, Stanford, Calif; Steven L. Lansma...
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S142-S146
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| Descending/Thoracoabdominal II |
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Strategies for renal and visceral protection in thoracoabdominal aortic surgery
The complexity of thoracoabdominal aortic aneurysm (TAAA) repair has long been established. In the earliest days of aortic repair, various techniques were tried in the hope of minimizing ischemic dama...
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Joseph S. Coselli
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S147-S149
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One-stage repair of extensive thoracic aortic disease
Objective: Staged procedures for extensive aneurysmal disease of the thoracic aorta are associated with substantial cumulative mortality for the 2 procedures and death in the interval in between, ofte...
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Nicholas T. Kouchoukos
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S150-S153
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Early and late results of descending thoracic and thoracoabdominal aortic aneurysm open repair with deep hypothermia and circulatory arrest
Objective: Open repair of descending thoracic aortic and thoracoabdominal aortic aneurysms may carry low morbidity and mortality, depending on experience of the surgeon and operative technique used. A...
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John W. Fehrenbacher,
Harry Siderys,
Colin Terry,
John Kuhn,
Joel S. Corvera
et al.
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S154-S160
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Incidence and risk factors of renal dysfunction after thoracic endovascular aortic repair
Objectives: The risk of renal failure after thoracic endovascular aortic repair is not widely established. The aim of this study was to assess the incidence and risk factors of renal failure. Methods:...
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George T. Pisimisis,
Ali Khoynezhad,
Khalid Bashir,
Matthew J. Kruse,
Carlos E. Donayre,
Rodney A. White
et al.
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S161-S167
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Hybrid and endovascular therapy for extensive thoracoabdominal aortic disease
The past 4 decades have witnessed tremendous strides in the evolution of endovascular technology with increased operator experience, greater availability of more sophisticated and versatile endovascul...
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Celia V. Riga,
Colin D. Bicknell,
Nicholas J.W. Cheshire
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S168-S170
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| Descending/Thoracoabdominal III |
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Branched endografts for thoracoabdominal aneurysms
Purpose: Endovascular management of thoracoabdominal aneurysms has been studied since 2001, with marked advances allowing for the treatment of complex anatomic situations including chronic aortic diss...
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Roy Greenberg,
Matthew Eagleton,
Tara Mastracci
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S171-S178
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Long-term results of thoracic endovascular aortic repair in atherosclerotic aneurysms involving the descending aorta
22 July 2010
Objective: This study evaluated long-term results of thoracic endovascular aortic repair for atherosclerotic aneurysms involving descending aorta. Methods: One hundred thirteen patients underwent thor...
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Martin Czerny,
Martin Funovics,
Gottfried Sodeck,
Julia Dumfarth,
Maria Schoder,
Andrzej Juraszek,
Tomasz Dziodzio,
Daniel Zimpfer,
Christian Loewe,
Johannes Lammer,
Raphael Rosenhek,
Marek Ehrlich,
Michael Grimm
et al.
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S179-S184
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Aortic surgery symposium 2010 discussions—Session VII: Descending/thoracoabdominal II and session VIII: Descending/thoracoabdominal III
Moderator: Randall B. Greipp, MD, Sinai School of Medicine, New York, NY. Panelists: Joseph S. Coselli, MD, Texas Heart Institute/Baylor College of Medicine, Houston, Tex; Nicholas T. Kouchoukos, MD, ...
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S185-S190
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| Frontmatter |
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Table of Contents
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A3-A8
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| Reader Services |
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Information for Readers
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A9
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