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Volume 121, Number 6 The Journal of Thoracic and Cardiovascular Surgery 31A Editor Andrew S. Wechsler, Philadelphia, PA Associate Editors Eugene H. Blackstone, Cleveland, OH Ralph J. Damiano, Jr, St Louis, MO D. Craig Miller, Stanford, CA G. Alexander Patterson, St Louis, MO Thomas L. Spray, Philadelphia, PA Ethics Editor Martin F. McKneally, Toronto, Canada Consultant, Electronic Media David B. Campbell, Hershey, PA Managing Editor Pamela W. Fried, Philadelphia, PA Senior Production Editor Lois R. Lindley, St Louis, MO President David R. Clarke, Denver, CO Vice President Donald B. Doty, Salt Lake City, UT Secretary Vaughn A. Starnes, Los Angeles, CA Treasurer Douglas E. Wood, Seattle, WA Editor Andrew S. Wechsler, Philadelphia, PA Former Editors Evarts A. Graham, Editor, 1931 - 1957 Emile Holman, Editor, 1957 - 1962 Brian Blades, Editor, 1962 - 1977 Dwight C. McGoon, Editor, 1977 - 1987 John W. Kirklin, Editor, 1987 - 1994 John A. Waldhausen, Editor, 1995 - 2000 Advisory Editorial Board Cary Akins, Boston, MA Friedhelm Beyersdorf, Freiburg, Germany R. Morton Bolman III, Minneapolis, MN Ray Chu-Jeng Chiu, Montreal, Canada Lawrence H. Cohn, Boston, MA Joseph Coselli, Houston, TX Fred A. Crawford, Jr, Charleston, SC Marc R. de Leval, London, England Jean Deslauriers, Sainte-Foy, Canada Davis Drinkwater, Nashville, TN M. Arisan Ergin, New York City, NY Donald D. Glower, Durham, NC Frank L. Hanley, San Francisco, CA Alden H. Harken, Denver, CO Axel Haverich, Hannover, Germany Valluvan Jeevanandam, Chicago, IL Larry R. Kaiser, Philadelphia, PA Antoon E. M. R. Lerut, Leuven, Belgium Robert M. Mentzer, Jr, Lexington, KY Joseph I. Miller, Atlanta, GA John L. Ochsner, New Orleans, LA Ivan M. Rebeyka, Edmonton, Canada Thomas W. Rice, Cleveland, OH Jack A. Roth, Houston, TX Valerie Rusch, New York, NY Hartzell V. Schaff, Rochester, MN Frank W. Sellke, Boston, MA Willem Van Oeveren, Groningen, The Netherlands Edward D. Verrier, Seattle, WA William G. Williams, Toronto, Canada President James L. Cox, Washington, DC Vice President Timothy J. Gardner, Philadelphia, PA Secretary Tirone E. David, Toronto, Canada Treasurer Richard A. Jonas, Boston, MA The American Association for Thoracic Surgery Editor Andrew S. Wechsler, Philadelphia, PA Executive Director William T. Maloney, Manchester, MA Associate Executive Director Robert P. Jones, Jr, Manchester, MA Councillors Delos M.Cosgrove, Cleveland, OH O. Wayne Isom, New York, NY G. Alexander Patterson, St Louis, MO Carolyn E. Reed, Charleston, SC Edward D. Verrier, Seattle, WA The Western Thoracic Surgical Association Historian Richard G. Fosburg, Del Mar, CA ACS Board of Governors Steven W. Guyton, Seattle, WA Executive Director Robert P. Jones, Jr, Manchester, MA Councillors Alden H. Harken, Denver, CO W. R. Eric Jamieson, Vancouver, Canada R. Scott Mitchell, Stanford, CA Councillor/Founder Arthur N. Thomas, San Francisco, CA The Journal of THORACIC AND CARDIOVASCULAR SURGERY OFFICIAL PUBLICATION OF The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

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Vo l u m e 1 2 1 , N u m b e r 6 The Journal of Thoracic and Cardiovascular Surgery 31A

EditorAndrew S. Wechsler, Philadelphia, PA

Associate EditorsEugene H. Blackstone, Cleveland, OHRalph J. Damiano, Jr, St Louis, MOD. Craig Miller, Stanford, CAG. Alexander Patterson, St Louis, MOThomas L. Spray, Philadelphia, PA

Ethics EditorMartin F. McKneally, Toronto, Canada

Consultant, Electronic MediaDavid B. Campbell, Hershey, PA

Managing EditorPamela W. Fried, Philadelphia, PA

Senior Production EditorLois R. Lindley, St Louis, MO

PresidentDavid R. Clarke, Denver, CO

Vice PresidentDonald B. Doty, Salt Lake City, UT

SecretaryVaughn A. Starnes, Los Angeles, CA

TreasurerDouglas E. Wood, Seattle, WA

EditorAndrew S. Wechsler, Philadelphia, PA

Former EditorsEvarts A. Graham, Editor, 1931 - 1957Emile Holman, Editor, 1957 - 1962Brian Blades, Editor, 1962 - 1977Dwight C. McGoon, Editor, 1977 - 1987John W. Kirklin, Editor, 1987 - 1994John A. Waldhausen, Editor, 1995 - 2000

Advisory Editorial BoardCary Akins, Boston, MAFriedhelm Beyersdorf, Freiburg, GermanyR. Morton Bolman III, Minneapolis, MNRay Chu-Jeng Chiu, Montreal, CanadaLawrence H. Cohn, Boston, MAJoseph Coselli, Houston, TXFred A. Crawford, Jr, Charleston, SCMarc R. de Leval, London, EnglandJean Deslauriers, Sainte-Foy, CanadaDavis Drinkwater, Nashville, TN

M. Arisan Ergin, New York City, NYDonald D. Glower, Durham, NCFrank L. Hanley, San Francisco, CAAlden H. Harken, Denver, COAxel Haverich, Hannover, GermanyValluvan Jeevanandam, Chicago, ILLarry R. Kaiser, Philadelphia, PAAntoon E. M. R. Lerut, Leuven, BelgiumRobert M. Mentzer, Jr, Lexington, KYJoseph I. Miller, Atlanta, GAJohn L. Ochsner, New Orleans, LAIvan M. Rebeyka, Edmonton, CanadaThomas W. Rice, Cleveland, OHJack A. Roth, Houston, TXValerie Rusch, New York, NYHartzell V. Schaff, Rochester, MNFrank W. Sellke, Boston, MAWillem Van Oeveren, Groningen, The NetherlandsEdward D. Verrier, Seattle, WAWilliam G. Williams, Toronto, Canada

PresidentJames L. Cox, Washington, DC

Vice PresidentTimothy J. Gardner, Philadelphia, PA

SecretaryTirone E. David, Toronto, Canada

TreasurerRichard A. Jonas, Boston, MA

The American Association for Thoracic SurgeryEditorAndrew S. Wechsler, Philadelphia, PA

Executive DirectorWilliam T. Maloney, Manchester, MA

Associate Executive DirectorRobert P. Jones, Jr, Manchester, MA

CouncillorsDelos M.Cosgrove, Cleveland, OHO. Wayne Isom, New York, NYG. Alexander Patterson, St Louis, MOCarolyn E. Reed, Charleston, SCEdward D. Verrier, Seattle, WA

The Western Thoracic Surgical AssociationHistorianRichard G. Fosburg, Del Mar, CA

ACS Board of GovernorsSteven W. Guyton, Seattle, WA

Executive DirectorRobert P. Jones, Jr, Manchester, MA

CouncillorsAlden H. Harken, Denver, COW. R. Eric Jamieson, Vancouver, CanadaR. Scott Mitchell, Stanford, CA

Councillor/FounderArthur N. Thomas, San Francisco, CA

The Journal of

THORACIC AND CARDIOVASCULAR SURGERYOFFICIAL PUBLICATION OFThe American Association for Thoracic Surgery and The Western Thoracic Surgical Association