Critical stenosis of pulmonary homograft induced by Surgicel in Ross procedure.
Surgicel is bio-absorbable cellulose used to control bleeding. A 52-year-old woman with severe aortic valve regurgitation and aortic dilatation underwent the Ross procedure and ascending aortic replacement. After 48 h, she suffered severe hypotension and hypoxemia. Arteriography revealed stenosis of the pulmonary homograft, which required urgent re-intervention. Extrinsic compression of the posterior wall of the homograft due to Surgicel was found.
Teis
Albert
A
Germans Trias i Pujol University Hospital, Badalona, Barcelona, Spain. a_teis@yahoo.es
Cámara
María-Luisa
ML
Ferrer
Elena
E
Romero-Ferrer
Bernardo
B
D001014:Aortic Aneurysm / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D002483:Cellulose, Oxidized / Q000009:adverse effects*; D003251:Constriction, Pathologic; D016638:Critical Illness; D017548:Echocardiography, Transesophageal; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006490:Hemostatics / Q000009:adverse effects*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D000860:Hypoxia / Q000209:etiology; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000637:transplantation*; D011859:Radiography; D012086:Reoperation; D012720:Severity of Illness Index; D014184:Transplantation, Homologous; D016896:Treatment Outcome
D002483:Cellulose, Oxidized; D006490:Hemostatics; D011093:Polyethylene Terephthalates; C013695:Surgicel