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Correspondence
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Volume 337:1475-1476 November 13, 1997 Number 20
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Surgery of the Thoracic Aorta

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 by Kouchoukos, N. T.
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To the Editor: The excellent review article by Kouchoukos and Dougenis (June 26 issue)1 on surgery of the thoracic aorta did not mention the utility of gadolinium-enhanced, three-dimensional magnetic resonance angiography,2 perhaps because the most recent article they cited from the radiologic literature was from 1994. This technique provides surgically pertinent angiographic images (Figure 1) without the potential morbidity associated with conventional catheter angiography and can be performed safely in patients with severe renal insufficiency. Gadolinium-enhanced, three-dimensional magnetic resonance angiography has supplanted conventional angiography in many institutions for the preoperative evaluation of thoracoabdominal aneurysms. In conjunction with transesophageal . . . [Full Text of this Article]

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