The modern surgical treatment of disorders of the thoracic aortabegan in the early 1950s when Gross, Swan, Lam, and DeBakeyand their associates1,2,3,4 reported successful treatment ofcoarctation and aneurysms of the descending thoracic aorta usingsegmental resection and replacement with several types of grafts.In 1956, Cooley and DeBakey5 reported the first successful operationfor resection and graft replacement of the ascending aorta usingcardiopulmonary bypass. In 1957, DeBakey and colleagues,6 alsousing cardiopulmonary bypass, reported the first successfulresection and graft replacement of an aneurysm of the aorticarch. Since then, important advances in the diagnosis and . . . [Full Text of this Article]
Incidence, Classification, and Pathogenesis
Natural History
Aneurysm
Aortic Dissection
Other Conditions
Diagnosis and Preoperative Evaluation
Clinical Features
Diagnostic Studies
Chest Radiography
Computed Tomography
Magnetic Resonance Imaging
Transesophageal Echocardiography
Aortography
Epiaortic Scanning
Preoperative Evaluation
Indications for Surgery and Results of Surgical Treatment
Ascending Aorta
Aortic Arch
Descending Thoracic Aorta
Thoracoabdominal Aorta
Conclusions
Source Information
From the Division of Cardiothoracic Surgery, Washington University School of Medicine (N.T.K., D.D.) and the Heart Center, Missouri Baptist Medical Center, B.J.C. Health System (N.T.K.) both in St. Louis.
Address reprint requests to Dr. Kouchoukos at 3009 N. Ballas Rd., Suite 266C, St. Louis, MO 63131.
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