title: Shunt control of bleeding after homograft replacement of the ascending aorta.
abstract: Homograft replacement of the ascending aorta with replacement of the coronary arteries often is accompanied by significant postoperative bleeding from the suture lines that often requires a second exploratory operation. These events occur despite a meticulous operative technique and pharmacologic hemostatic agents. We used hemostatic material to cover the homograft as patch to create a watertight seal and placed a left-to-right shunt to control bleeding.
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003331:Coronary Vessels / Q000601:surgery; D006325:Heart Atria / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D019106:Postoperative Hemorrhage / Q000601:surgery*; D012086:Reoperation