Reoperations after dacron patch aortoplasty with heparinized femoro-femoral bypass.
Dacron patch aortoplasty used to be a standard therapy in some surgical units. Occurrence of aneurysm formation after this procedure is well known. The incidence of aneurysms is reported to be 0-35% with a high risk of lethal rupture. We report three cases of aneurysm repair of the descending thoracic aorta after dacron patch aortoplasty using femoro-femoral extracorporeal system. Heparin-coated system was used primarily to prevent ischemic spinal cord injury through hypotension of the distal aorta and secondarily to reduce the risk of intraoperative hemorrhage.
Roth
M
M
Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Max Planck Institute, Bad Nauheim, Germany.
Bauer
E P
EP
Reuthebuch
O
O
Klövekorn
W P
WP
D000328:Adult; D000925:Anticoagulants; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005260:Female; D006493:Heparin; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation
D000925:Anticoagulants; D011093:Polyethylene Terephthalates; D006493:Heparin