European Journal of Cardio-Thoracic Surgery, Vol 11, 194-195, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Reoperative aortic root surgery late after use of histo-acryl
D Goossens, A Brutel de la Riviere, S Ernst and F Vermeulen
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.
Cardiovascular reoperations after the use of histo-acryl are extremely
rare. A patient is described, who underwent an aortic root replacement
according to Bentall's technique, for a postdissectional aneurysm. At that
time, to achieve hemostasis, histo-acryl adhesive was applied and a
Cabrol's fistula was created. Fourteen years later, a recurrent 'false',
aneurysm had developed and the fistula had a hemodynamically significant
left-right shunt. At reoperation, the composite graft was replaced by a
cryopreserved aortic root allograft with long coronary arteries. To our
knowledge, this is the first report of a cardiovascular reoperation after
previous use of histo-acryl. This patient also merits attention as to the
fact that it illustrates a failure of a modified Cabrol's procedure.