Reoperations after Total Arch Replacement in Acute Type A Aortic Dissection
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- Sakurai Manabu
- Division of Cardiovascular Surgery, Funabashi Municipal Center
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- Takahara Yoshiharu
- Division of Cardiovascular Surgery, Funabashi Municipal Center
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- Mogi Kenji
- Division of Cardiovascular Surgery, Funabashi Municipal Center
Bibliographic Information
- Other Title
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- Stanford A型急性大動脈解離に対する上行弓部置換術後吻合部再手術の2症例
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Abstract
Gelatin-resorcin-formalin (GRF) glue has been widely used in repair of dissected aortic wall tissue, and the use of GRF glue has been reported to significantly reduce mortality from this surgical emergency. On the other hand, various late complications possibly due to GRF glue have also been reported. We performed reoperations after total arch replacement for acute type A aortic dissection using GRF glue in 2 cases. In case 1, total arch replacement was performed 3 years ago. Pseudoaneurysms of the aortic root and brachiocephalic artery and redissection of the descending aorta were revealed by subsequent computed tomography (CT). Partial graft replacement for these 3 sites were performed with open distal anastomosis and right common carotid artery perfusion. In case 2, total arch replacement was performed 5 years previously. Redissection of the aortic root was revealed by CT, and ultrasound cardiography revealed severe aortic regurgitation and severe mitral valve insufficiency. A modified Bentall procedure and mitral valve replacement were performed. In these 2 cases, the sites of redissection and pseudoaneurysm were identified as the sites of use of GRF glue at the first operation. We suspected that the use of GRF glue is associated with a certain amount of risk of redissection and pseudoaneurysm. Such patients should be carefully followed for years after surgery. It is necessary to use appropriate surgical and glue application techniques to obtain the desired effect of the glue.
Journal
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- Japanese Journal of Cardiovascular Surgery
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Japanese Journal of Cardiovascular Surgery 33 (2), 110-113, 2004
The Japanese Society for Cardiovascular Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390001204703692672
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- NII Article ID
- 130003629438
- 10012708184
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- NII Book ID
- AN00193284
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- ISSN
- 18834108
- 02851474
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed