Reoperative aortic root surgery late after use of histo-acryl

Eur J Cardiothorac Surg. 1997 Jan;11(1):194-5. doi: 10.1016/s1010-7940(96)01086-x.

Abstract

Cardiovascular reoperations after the use of histo-acryl are extremely rare. A patient is described, who underwent an aortic root replacement according to Bentall's technique, for a postdissectional aneurysm. At that time, to achieve hemostasis, histo-acryl adhesive was applied and a Cabrol's fistula was created. Fourteen years later, a recurrent 'false', aneurysm had developed and the fistula had a hemodynamically significant left-right shunt. At reoperation, the composite graft was replaced by a cryopreserved aortic root allograft with long coronary arteries. To our knowledge, this is the first report of a cardiovascular reoperation after previous use of histo-acryl. This patient also merits attention as to the fact that it illustrates a failure of a modified Cabrol's procedure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis*
  • Enbucrilate / adverse effects*
  • Female
  • Humans
  • Postoperative Complications / chemically induced
  • Postoperative Complications / surgery*
  • Recurrence
  • Reoperation
  • Tissue Adhesives / adverse effects*

Substances

  • Tissue Adhesives
  • Enbucrilate