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(Circulation. 2005;112:2581.)
© 2005 American Heart Association, Inc.

Issue Highlights

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	HYBRID APPROACHES TO THORACIC AORTIC ANEURYSMS: THE ROLE OF ENDOVASCULAR ELEPHANT TRUNK COMPLETION, by Greenberg et al.

 
The era of endovascular stenting of the thoracic aorta is advancing to include novel techniques to extend the versatility of these devices. Thoracic aortic aneurysms affecting the aortic arch and descending thoracic aorta have required a 2-stage operative procedure. The first stage is performed through a sternotomy and includes replacement of the ascending aorta and aortic arch and leaving an extension of the graft in the descending aorta (elephant trunk). The second-stage procedure is performed via a left thoracotomy, retrieving the elephant trunk and extending the graft to replace the appropriate extent of the descending aorta. In the report, "Hybrid Approaches to Thoracic Aortic Aneurysms: The Role of Endovascular Elephant Trunk Completion," by Roy Greenberg, Fady Haddad, Lars Svensson, Sean O’Neill, Daniel Clair, Sean P. Lyden, Esteban Walker, and Bruce Lytle, the authors describe a series of patients where endovascular grafting was employed to complete the second stage of the procedure, ie, extending the elephant trunk. Thus, the second-stage operation was avoided. The procedure was feasible, reducing the morbidity and mortality associated with an open operative approach. See p 2619.

	MORTALITY AFTER ACUTE MYOCARDIAL INFARCTION IN HOSPITALS THAT DISPROPORTIONATELY TREAT BLACK PATIENTS, by Skinner et al.

 
Race-related disparities in management of cardiac disorders have been well documented, but data on the impact of such inequalities on health outcomes are limited. In this issue of Circulation, Skinner and colleagues evaluated prospective data from more than a million fee-for-service Medicare patients treated in 4289 US hospitals between 1997 and 2001. The investigators examined if short-term mortality after an acute myocardial infarction (AMI) varied according to race . . . [Full Text of this Article]

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