title: Perigraft-to-right atrial shunt for aortic root hemostasis.
abstract: We have modified the technique of perigraft-to-right atrial shunt to control hemorrhage after aortic root replacement. We have performed this operation in 2 patients, including one who had acute aortic dissection and another who underwent aortic root replacement and single-vessel coronary artery bypass. Neither patient required re-exploration for bleeding, and both shunts closed spontaneously during the follow-up period without any related complications. With this modification, even in the presence of concomitant coronary artery bypass grafting, hemostasis was achieved with preservation of the proximal vein graft.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Kaohsiung, Taiwan, Republic of China. sa11421@adm.cgmh.org.tw
authors.forename: Chiung-Lun
authors.initials: CL
authors.lastname: Kao
authors.forename: Jen-Ping
authors.initials: JP
authors.lastname: Chang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000601:surgery; D000818:Animals; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001705:Bioprosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D002417:Cattle; D001026:Coronary Artery Bypass; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000601:surgery*