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

T. Ueda, H. Shimizu, Takashi Hachiya, T. Ito, T. Goto, A. Mitsumaru, T. Katogi, R. Yozu, S. Kawada

研究成果: Article査読

3 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1904-1909
ページ数6
ジャーナル[Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai
42
10
出版ステータスPublished - 1994 10

ASJC Scopus subject areas

  • 循環器および心血管医学

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