Glue containment and anastomosis reinforcement in repair of aortic dissection.
In operations for aortic dissection anastomotic bleeding or secondary anastomosis dehiscence are common problems. The advent of Gelatin-resorcin-formaldehyde-glutaraldehyde (GRF) biologic glue has ameliorated type A dissection operative management. Glue containment is mandatory since detrimental effects of glue migration are described. We herein present a simple technique of anastomosis reinforcement and glue containment that helps in overcoming these complications.
Neri
E
E
Istituto di Chirurgia Cardiovascolare Universitá degli Studi di Siena, Unitá Operativa di Chirurgia dell' Aorta Toracica, Italy.
Massetti
M
M
Capannini
G
G
Carone
E
E
Sassi
C
C
D000714:Anastomosis, Surgical / Q000379:methods; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D004338:Drug Combinations; D005557:Formaldehyde / Q000627:therapeutic use*; D005780:Gelatin / Q000627:therapeutic use*; D006801:Humans; D012118:Resorcinols / Q000627:therapeutic use*; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin