The author recommends echocardiography and thoracic aortography com bined with coronary angiography in patients with thoracic aortic aneurysms prior to the operation; resection and replacement of asymptomatic fusiform aneurysms measuring twice or more the size of the normal aorta and of aortic dissections at cardiac operations; and use of active shunts during resection of descending thoracic aneurysms.
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