scholarly journals Plaster technique for filling up a future entry at the suture hole in type A aortic dissection

Author(s):  
Shinichi Ishida ◽  
Masato Mutsuga ◽  
Takashi Fujita ◽  
Kei Yagami

Although the surgical technique for acute type A aortic dissection markedly improved in the last decade, perioperative mortality and morbidity rates remain dramatically high. Therefore, we introduce the novel “plaster technique” using the single interrupted suture with a felt and plastering the minimum dose of BioGlue® (Cryolife Inc., Kennesaw, GA, USA) into the suture hole in this report. We found that the plaster technique using a felt pledget and minimum dose of BioGlue is effective for fragile aortic walls, as in patients undergoing acute aortic dissection and is a simple, safe, and durable technique to strengthen the suture line.

Aorta ◽  
2021 ◽  
Vol 09 (01) ◽  
pp. 030-032
Author(s):  
Sergey Y. Boldyrev ◽  
Kirill O. Barbukhatty ◽  
Vladimir A. Porhanov

AbstractSurgical treatment of Type-A acute aortic dissection is associated with high mortality and morbidity. One of the reasons is perioperative bleeding, which may lead to worse outcomes. We present a case of successful treatment of a patient with 18-litre perioperative blood loss in DeBakey Type-I acute aortic dissection with drug-induced hypocoagulation and malperfusion of a lower extremity.


2016 ◽  
Vol 68 (3) ◽  
Author(s):  
Rodolfo Citro ◽  
Marco Mariano Patella ◽  
Gennaro Provenza ◽  
Giovanni Gregorio ◽  
Eduardo Bossone

Acute type A aortic dissection (TA-AAD) is a highly lethal clinical entity that can occur within a wide age range, associated with multiple aetiologies and various clinical presentations. In the very elderly type A aortic dissection frequently presents with non-specific symptoms and signs and is associated with high mortality and morbidity. Thus the clinician must have a high index of clinical suspicion in order to prompt the most appropriate diagnostic-therapeutic strategy.We report a nonagenarian women with TA-AAD, treated successfully with medical therapy.


Aorta ◽  
2016 ◽  
Vol 04 (06) ◽  
pp. 244-247 ◽  
Author(s):  
Thierry Carrel ◽  
Samuel Hurni ◽  
Christoph Huber ◽  
Lars Englberger

AbstractWe present a simplified surgical technique that was performed on a 37-year-old man who presented with a pseudoaneurysm of the left coronary ostium two months after repair of acute Type A aortic dissection with a composite graft. Intraoperatively, the surgical sites showed extreme adhesions. The leakage at the level of the coronary suture line was exposed from inside the aortic graft. Repair was performed using 7.0 polypropylene sutures, and the postoperative course was uneventful. The patient was discharged on postoperative day six without further complications.


2021 ◽  
pp. 021849232110597
Author(s):  
Bashi Velayudhan ◽  
Mohammed Ibrahim ◽  
Mohammed Idhrees

Acute Type A aortic dissection (ATAAD), a surgical emergency, has high mortality and morbidity. More than half of the patients dies within 2 weeks and the 30-day mortality is 90%. Here we describe our technique of ATAAD repair.


2020 ◽  
Author(s):  
Shiva Tabaghi ◽  
Mohammad Ali Akbarzadeh

The novel coronavirus spread all over the world in 2019 and became a serious international health concern of this century. Coronavirus disease 2019 (COVID-19) had a wide range of clinical manifestations; it can cause mild-to-severe multiorgan diseases, mostly affecting the respiratory system, but cardiovascular symptoms and complications are also frequently presented in COVID-19 patients. Herein, we report a type A aortic dissection in a confirmed case of COVID-19.


2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
CD Etz ◽  
JG da Rocha e Silva ◽  
K von Aspern ◽  
S Leontyev ◽  
F Girrbach ◽  
...  

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