[A case of progressive right coronary ostial stenosis after Carrel patch method using gelatin-resorcin-formalin glue].
A 31-year-old man with type A chronic aortic dissection associated with annuloaortic ectasia underwent the concomitant graft replacement of the total aortic root and the transverse aortic arch. The two coronary arteries were reconstructed using the Carrel patch method. The false lumen of right coronary artery was closed by injection of GRF glue into the dissected space and compressing the dissected layers. Postoperative course was uneventful, and the patient has returned to normal daily life 2 months after surgery. Remarkable progression of the right coronary artery ostial stenosis was observed by coronary angiography 6 months after surgery. The remarkable progression of stenosis may occur in association with injection of GRF glue into the dissected space, although the exact etiology of the progressive stenosis remains obscure.
Kiyama
H
H
Department of Cardiovascular Surgery, Sekishinkai Sayama Hospital, Saitama, Japan.
Ohshima
N
N
Sakurada
M
M
Kagawa
N
N
Imazeki
T
T
Yamada
T
T
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D003327:Coronary Disease / Q000209:etiology*; D003331:Coronary Vessels / Q000601:surgery*; D004338:Drug Combinations; D005557:Formaldehyde / Q000009:adverse effects*; D005780:Gelatin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D012118:Resorcinols / Q000009:adverse effects*; D014014:Tissue Adhesives / Q000009:adverse effects*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin