title: Acute limb ischaemia due to embolisation of biological glue 45 days after surgery.
abstract: BACKGROUND
  Since their introduction, biological glues have been more often used in cardiac and vascular surgery in order to control bleeding and reinforce surgical anastomotic sites.
  
  
  METHODS
  We report a case of a 54-year-old woman diagnosed with acute limb ischaemia due to embolisation of biological glue, 45 days after her surgery for ascending aortic dissection. Her ischaemia was successfully relieved by an urgent thrombectomy.
  
  
  CONCLUSIONS
  Complications due to the use of biological glues remain rare but are very serious. Preventive measures and intra-operative precautions must be considered in order to avoid most of these complications.
authors.affiliation: Department of Vascular Surgery, St Georges Hospital, University Medical Center, Beirut, Lebanon. moussaabighanem@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: El Feghaly
authors.forename: E
authors.initials: E
authors.lastname: Chahine
authors.forename: M
authors.initials: M
authors.lastname: Abi Ghanem
authors.forename: O
authors.initials: O
authors.lastname: Abou Zahr
authors.forename: M
authors.initials: M
authors.lastname: Alayli
authors.forename: B
authors.initials: B
authors.lastname: Abu Khalil
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery; D004617:Embolism / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008875:Middle Aged; D011506:Proteins / Q000009:adverse effects*; D017131:Thrombectomy; D013997:Time Factors; D014014:Tissue Adhesives / Q000009:adverse effects*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
chemical_list: C472676:Bio-glue; D011506:Proteins; D014014:Tissue Adhesives