[Surgery of the thoracic aorta. Value of tissucol].
The techniques for sealing with the Tissucol fibrin glue, used in repair of aortic dissections and aneurysms, are described. We applied this method to 24 patients operated upon for acute (9 cases) or chronic (15 cases) lesions of the thoracic aorta. No patients died of haemorrhage, and post-operative bleeding was only 500 ml on average. Provided strict precautions are taken, this adjuvant haemostatic method considerably improves the immediate prognosis of acquired aortic lesions. Other operations of cardiac surgery may benefit from these sealing techniques the cost of which must be weighed against the blood transfusion units that are saved.
Ninet
J
J
Service de Chirurgie thoracique et cardiovasculaire C. Hôpital cardiologique, Lyon.
Thevenet
F
F
Cochet
P
P
Vigneron
M
M
Risk
M
M
Champsaur
G
G
D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000601:surgery*; D007611:Aprotinin / Q000009:adverse effects / Q000627:therapeutic use*; D002908:Chronic Disease; D004338:Drug Combinations / Q000009:adverse effects / Q000627:therapeutic use; D005176:Factor XIII / Q000009:adverse effects / Q000627:therapeutic use*; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen / Q000009:adverse effects / Q000627:therapeutic use*; D006489:Hemostatic Techniques; D006801:Humans; D013917:Thrombin / Q000009:adverse effects / Q000627:therapeutic use*; D014014:Tissue Adhesives / Q000009:adverse effects / Q000627:therapeutic use*
D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D005340:Fibrinogen; D005176:Factor XIII; D007611:Aprotinin; D013917:Thrombin
Chirurgie de l'aorte thoracique. Intérêt du tissucol.