Reoperative aortic root surgery late after use of histo-acryl.
Cardiovascular reoperations after the use of histo-acryl are extremely rare. A patient is described, who underwent an aortic root replacement according to Bentall's technique, for a postdissectional aneurysm. At that time, to achieve hemostasis, histo-acryl adhesive was applied and a Cabrol's fistula was created. Fourteen years later, a recurrent 'false', aneurysm had developed and the fistula had a hemodynamically significant left-right shunt. At reoperation, the composite graft was replaced by a cryopreserved aortic root allograft with long coronary arteries. To our knowledge, this is the first report of a cardiovascular reoperation after previous use of histo-acryl. This patient also merits attention as to the fact that it illustrates a failure of a modified Cabrol's procedure.
Goossens
D
D
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.
Brutel de la Rivière
A
A
Ernst
S
S
Vermeulen
F
F
D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004659:Enbucrilate / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000139:chemically induced / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D014014:Tissue Adhesives / Q000009:adverse effects*
D014014:Tissue Adhesives; D004659:Enbucrilate