Open AccessPlaster technique for filling up a future entry at the suture hole in type A aortic dissection
Author(s) -
S. Ishida,
Masato Mutsuga,
Takashi Fujita,
Kei Yagami
Publication year - 2022
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-022-01351-0
Subject(s) - aortic dissection , medicine , surgery , fibrous joint , dissection (medical) , anastomosis , cardiac surgery , aorta , tears , vascular surgery , cardiothoracic surgery
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.