However, the design does mean significant pressure stress on the front and rear of the cylinder. This must be managed with extensive (heavy) structures.
A doughnut design, in theory at least, solves for this by removing "the ends" of the cylinder.
The patent title is "aircraft including a passenger cabin extending around a space defined outside the cabin and inside the aircraft." My understanding is that the patent covers the torus-shaped passenger cabin within any larger aerodynamic envelope as a method of reducing constraints related to cabin pressurization (the "hole" is incidental). Very interesting stuff. I'm not an aeronautical engineer or patent attorney.
I don't think any aircraft are built that way though, so I'm a little confused.
In paragraph 0085, this interior unpressurized space can be used for luggage or freight. Or (paragraph 0094) to store the spiral staircase.