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European Journal of Cardio-Thoracic Surgery, Vol 11, 194-195, Copyright © 1997 by European Association for Cardio-thoracic Surgery


ARTICLES

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.





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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.