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Previous Volume 330:717 March 10, 1994 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In her editorial on neurologic complications of cardiac surgery (Oct. 7 issue),¹ Dr. Swain outlines the causes of injury to the central nervous system and the various techniques used to prevent it. However, she fails to mention the surgical strategies used to deal with the atherosclerotic ascending aorta and with carotid artery disease. Screening for ascending aortic atherosclerosis and severe symptomatic carotid artery disease and aggressive surgical treatment when these conditions are present appear to reduce the frequency of stroke in patients undergoing cardiac surgery. In the atheromatous aorta, clamping should be kept to a minimum, alternative . . . [Full Text of this Article]

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