title: Use of pericardium to control bleeding after ascending aortic graft replacement.
abstract: We present the case of a patient who required replacement of an ascending aortic composite graft for endocarditis complicated by uncontrollable bleeding from the proximal anastomotic site. A new method of creating a right atrial-to-periprosthetic space fistula with autologous pericardium was used with a favorable result.
authors.affiliation: Pacific Presbyterian Medical Center, San Francisco, California 94115.
authors.forename: D D
authors.initials: DD
authors.lastname: Muehrcke
authors.forename: R J
authors.initials: RJ
authors.lastname: Szarnicki
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects; D001011:Aorta; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve; D001705:Bioprosthesis; D004696:Endocarditis / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011475:Prosthesis Failure; D016042:Transplantation, Heterotopic