| Autor: |
Sakano, Yasuhito, Saito, Tsutomu, Misawa, Yoshio |
| Jazyk: |
angličtina |
| Rok vydání: |
2002 |
| Předmět: |
|
| Zdroj: |
自治医科大学紀要 = Jichi Medical University Journal. 30:103-108 |
| ISSN: |
1881-252X |
| Popis: |
It has recently been reported that tissue toxicity from formaldehyde can cause a falseaneurysm around the aortic root in cases where GRF glue has been used. A residual ascending aorta in a 55-year-old male became a very large false aneurysm during followup after an acute type A aortic dissection. At the initial operation, the ascending aorta had been replaced with a prosthetic graftand the anastomosis site repaired using gelatin resorcinol formaldehyde （GRF） glue. During the operation, necrosis of the arterial wall wasrecognized around the proximal anastomosis site between the graft and the native aortawall. Because of severe adhesion around the native aortic tissue and the left main coronary artery the patient required an aorto-coronary bypass graft and an additionalpatch reconstruction of the pulmonary artery. Though the operation was very invasive because of the long cardiopulmonary bypass andanoxic arrest, the postoperative course was uneventful.This report highlighted that careful follow up of a false aneurysm formation around anaortic root is needed in cases where GRF glue is used in the initial operation. Surgeonsneed to be aware of the distinctive complications possible in re-do operations around anaortic root, and take steps to prevent such occurrences. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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