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Iamp;#39;d like to welcome you to the University of Washington Regional Heart Center Grand rounds my name is Rick Paige head of the division of Cardiology at the University of Washington and today itamp;#39;s my privilege to introduce Michael Mulligan who is going to be speaking to us about descending thoracic and thoro abdominal aortic aneurysm repair Dr Mulligan thank you Dr Paige over the last two years the University of Washington has made an attempt to Central neiz the care of patients Afflicted with these aneurysms weamp;#39;ve made great strides in improving the quality and increasing the volume of repairs that are done here at the University of Washington and we therefore thought it would be important and timely to review the topic descending thoracic aortic aneurysms involve the thoracic aorta extending from the left subclavian artery and may go down all the way down to the diaphragm thoral abdominal aortic aneurysms involve not only the descending thoracic aorta bu