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

Aortic dissection Suture entry Suture hole

Journal

Indian journal of thoracic and cardiovascular surgery
ISSN: 0970-9134
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105

Informations de publication

Date de publication:
May 2022
Historique:
received: 13 12 2021
revised: 28 02 2022
accepted: 03 03 2022
entrez: 9 5 2022
pubmed: 10 5 2022
medline: 10 5 2022
Statut: ppublish

Résumé

Although the surgical technique for acute type A aortic dissection dramatically improved in recent years, the postoperative mortality and morbidity rates remain high. After the emergency surgery for acute type A aortic dissection, a small tear in the aorta may result in dilation of the false lumen in the future. Some tears originate from the suture line on the anastomosis. This report introduces the novel "plaster technique" that involves using a single interrupted suture with felt and plastering a minimum dose of BioGlue into the suture hole. Similar to patients with acute aortic dissection, we found that the plaster technique using a felt pledget and minimum dose of BioGlue is effective for fragile aortic walls. Moreover, it is a simple, safe, and durable technique to strengthen the suture line. The online version contains supplementary material available at 10.1007/s12055-022-01351-0.

Identifiants

pubmed: 35528999
doi: 10.1007/s12055-022-01351-0
pii: 1351
pmc: PMC9023616
doi:

Types de publication

Journal Article

Langues

eng

Pagination

339-341

Informations de copyright

© Indian Association of Cardiovascular-Thoracic Surgeons 2022.

Déclaration de conflit d'intérêts

Conflict of interestThe authors declare no competing interests.

Références

Interact Cardiovasc Thorac Surg. 2007 Apr;6(2):147-9
pubmed: 17669795
Gen Thorac Cardiovasc Surg. 2014 Apr;62(4):207-13
pubmed: 24254987
Eur J Cardiothorac Surg. 2018 Jan 1;53(1):276-281
pubmed: 28977415
J Thorac Cardiovasc Surg. 2019 Jan;157(1):3-11
pubmed: 30557944

Auteurs

Shinichi Ishida (S)

Department of Cardiac Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi-city, Gifu, 507-8522 Japan.

Masato Mutsuga (M)

Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi Japan.

Takashi Fujita (T)

Department of Cardiac Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi-city, Gifu, 507-8522 Japan.

Kei Yagami (K)

Department of Cardiac Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi-city, Gifu, 507-8522 Japan.

Classifications MeSH