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Surgery for Acute Aortic Dissection: An Easy and Cheap Method to Reinforce the Anastomosis
Author(s) -
Gaeta Roberto,
Lentini Salvatore,
Tancredi Fabrizio,
Monaco Francesco,
Savasta Marcello
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00712.x
Subject(s) - medicine , anastomosis , aorta , fibrous joint , surgery , dissection (medical) , aortic dissection , prosthesis , aneurysm , absorbable suture
Bleeding from the anastomotic site is a frequent complication of surgery for acute aortic dissection. Many methods have been devised in order to avoid this problem. We report a simple, easy technique to reinforce the anastomotic sites. One small 4‐mm‐high ring is cut from the same prosthesis and placed circumferentially inside the aorta edge. Another ring of the same width is opened in a “C” shape, and placed outside the aorta. The conduit was eventually sutured to the aorta in a standard fashion using a running 3‐0 polypropylene suture. The final result appeared good with no bleeding, and the rim lines appear clearer and the edges easier to suture because the Dacron is thinner than other used materials (that is, Teflon). In our opinion, this technique is a simple method to reinforce the anastomosis for both proximal and distal aorta.