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European Journal of Cardio-Thoracic Surgery, Vol 11, 997-1000, Copyright © 1997 by European Association for Cardio-thoracic Surgery


ARTICLES

Reoperations after dacron patch aortoplasty with heparinized femoro- femoral bypass

M Roth, EP Bauer, O Reuthebuch and WP Klovekorn
Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Max Planck Institute, Bad Nauheim, Germany.

Dacron patch aortoplasty used to be a standard therapy in some surgical units. Occurrence of aneurysm formation after this procedure is well known. The incidence of aneurysms is reported to be 0-35% with a high risk of lethal rupture. We report three cases of aneurysm repair of the descending thoracic aorta after dacron patch aortoplasty using femoro- femoral extracorporeal system. Heparin-coated system was used primarily to prevent ischemic spinal cord injury through hypotension of the distal aorta and secondarily to reduce the risk of intraoperative hemorrhage.





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