Document Detail

Aortic root reimplantation using a Valsalva graft for postoperative pseudoaneurysm after acute aortic dissection.
MedLine Citation:
PMID:  18989255     Owner:  NLM     Status:  MEDLINE    
We report a reoperative case in which a Valsalva graft was utilized on a 64-year-old woman who had previously undergone emergency repair of a DeBakey type I acute aortic dissection. On follow-up computed tomography (CT), she was found to have pseudoaneurysms of both proximal and distal anastomoses. We performed valve-sparing aortic root replacement (VSRR) with the reimplantation technique and total arch replacement, since we felt that a graft with pseudosinuses helps to prevent torsion of the coronary arteries. The postoperative course was uneventful, and postoperative echocardiography revealed no significant aortic valve regurgitation. The pathology results raised the hypothesis that pseudoaneurysm formation might have been related to the use of gelatin-resorcinol-formaldehyde (GRF) glue at the time of the initial intervention.
Toshinobu Kazui; Yoshino Mitsunaga; Yoshiaki Fukuhiro; Takayuki Nakajima; Hitoshi Okabayashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  14     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-11-07     Completed Date:  2009-01-22     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  339-42     Citation Subset:  IM    
Department of Cardiovascular Surgery, Memorial Heart Center, Iwate Medical University, Morioka, Japan.
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MeSH Terms
Aneurysm, Dissecting / surgery*
Aneurysm, False / etiology,  pathology,  surgery*
Aortic Aneurysm / surgery*
Aortography / methods
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / instrumentation*
Drug Combinations
Formaldehyde / adverse effects
Gelatin / adverse effects
Middle Aged
Prosthesis Design
Resorcinols / adverse effects
Sinus of Valsalva / pathology,  surgery*
Tissue Adhesives / adverse effects
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures / adverse effects*
Reg. No./Substance:
0/Drug Combinations; 0/Resorcinols; 0/Tissue Adhesives; 0/gelatin-resorcinol-formaldehyde tissue adhesive; 50-00-0/Formaldehyde; 9000-70-8/Gelatin

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