Preliminary clinical results of surgery for type A acute aortic dissections using gelatin-resorcin-formaldehyde glue

T. Ueda, Hideyuki Shimizu, T. Hachiya, Tsutomu Ito, T. Goto, A. Mitsumaru, T. Katogi, R. Yozu, S. Kawada

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We used gelatin-resorcin-form-aldehyde (GRF) glue to fuse the false lumen of type A acute aortic dissection in four patients. All were operated on within 3-24 hours after onset, and gluing of the two cylinders of the dissecting aorta could be done safely in a short time. Initial intimal tears were located in the transverse aorta in three patients and in the proximal descending aorta in one. Simple transection and end-to-end anastomosis of the ascending aorta was done for the first two cases. But in the last two patients, we resected the intimal tear in the transverse aorta and applied GRF glue to the stump of the aortic arch and to that of the aortic root, followed by graft replacement of the ascending aorta. There were no hospital deaths. But we had to reoperate on one patient five months after the first operation due to potentially residual dissection in the aortic root. GRF glue is a very useful adhesive for acute aortic dissection operations, but further refinement of the operative technique using it is necessary.

Original languageEnglish
Pages (from-to)1904-1909
Number of pages6
JournalJournal of the Japanese Association for Thoracic Surgery
Volume42
Issue number10
Publication statusPublished - 1994 Oct

Fingerprint

Gelatin
Adhesives
Formaldehyde
Aorta
Dissection
Aldehydes
Tunica Intima
Thoracic Aorta
resorcinol
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Preliminary clinical results of surgery for type A acute aortic dissections using gelatin-resorcin-formaldehyde glue. / Ueda, T.; Shimizu, Hideyuki; Hachiya, T.; Ito, Tsutomu; Goto, T.; Mitsumaru, A.; Katogi, T.; Yozu, R.; Kawada, S.

In: Journal of the Japanese Association for Thoracic Surgery, Vol. 42, No. 10, 10.1994, p. 1904-1909.

Research output: Contribution to journalArticle

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AU - Katogi, T.

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