title: An effective method for improving hemostasis in aortic root replacement with a composite graft.
abstract: Hemostasis during aortic root replacement with a composite graft, consisting of a separate Dacron graft and a valve, was markedly improved by using a supra-annular aortic wall reinforcing suture (SAWR). Between February 1994 and January 1998, 14 consecutive patients (10 men and 4 women) underwent replacement of the aortic valve and ascending aorta with the SAWR technique. No intraoperative bleeding of the aortic proximal suture line or early death occurred in this group. No patient required reoperation for bleeding of anastomoses. Three of 10 patients who underwent elective operations were operated on successfully without blood transfusion. In addition, no clinical complications related to the SAWR technique were observed in the follow-up period. We conclude that the SAWR technique can be performed easily and may be an effective method for improving proximal hemostasis.
authors.affiliation: Department of Cardiovascular Surgery, Akita University School of Medicine, Japan.
authors.forename: K X
authors.initials: KX
authors.lastname: Liu
authors.forename: F
authors.initials: F
authors.lastname: Yamamoto
authors.forename: S
authors.initials: S
authors.lastname: Sekine
authors.forename: Y
authors.initials: Y
authors.lastname: Goto
authors.forename: S
authors.initials: S
authors.lastname: Seki
authors.forename: I
authors.initials: I
authors.lastname: Yamagishi
authors.forename: K
authors.initials: K
authors.lastname: Kondon
authors.forename: M
authors.initials: M
authors.lastname: Matsukawa
mesh_terms: D000784:Aortic Dissection / Q000601:surgery; D001011:Aorta / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D013536:Suture Techniques
chemical_list: D011093:Polyethylene Terephthalates