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Volume 346:711 February 28, 2002 Number 9
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Combined Aortic Surgery and Implantation of a Left Ventricular Assist Device

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To the Editor: There is no clearly established strategy for the treatment of a patient with cardiomyopathy and a symptomatic aneurysm of the thoracic aorta. We report the successful use of an approach combining aortic surgery and the implantation of a left ventricular assist device.

Chest pain developed in a 36-year-old heart-transplant candidate with Marfan's syndrome, terminal heart failure, and chronic type B aortic dissection. He had a history of multiple aortic and cardiac surgical procedures, including prosthetic replacement of the ascending aorta, partial replacement of the aortic arch, and aortic- and mitral-valve replacement. He had had recurrent episodes of . . . [Full Text of this Article]

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