title: Control of troublesome bleeding during repair of acute type A dissection with use of modified rapid deployment hemostat (MRDH).
abstract: Troublesome bleeding occurred in the posterior portion of the proximal anastomosis in an ascending aorta graft, being performed on a patient with acute type A dissection. The suture line was close to the left coronary ostium, and attempts at suturing and other maneuvers failed to control hemorrhage. Modified rapid deployment hemostat (MRDH) was successful in achieving hemostasis. MRDH is a novel hemostatic agent with invaluable use in troublesome bleeding occurring during heart surgery.
authors.affiliation: Division of Cardiothoracic Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA. tsalerno@med.miami.edu
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
authors.forename: Colleen
authors.initials: C
authors.lastname: Gaughan
authors.forename: Maria
authors.initials: M
authors.lastname: Suarez
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Panos
mesh_terms: D000117:Acetylglucosamine; D000328:Adult; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006470:Hemorrhage / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006490:Hemostatics; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D015503:Surgical Sponges
chemical_list: D006490:Hemostatics; C113831:poly-N-acetyl glucosamine; D000117:Acetylglucosamine