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Reinforcement and reapproximation of the aortic stump during surgery for acute aortic dissection

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Abstract

Anastomosis of the fragile aortic wall in patients with acute aortic dissection presents a challenge to cardiovascular surgeons. Reinforcement of the stump is a key to accomplishing successful anastomosis. Surgical glues such as gelatin–resorcin–formalin (GRF) glue and Bioglue are easy to use and have radically changed the process of the reinforcement and reapproximation. However, as surgical glues have been associated with disadvantages such as tissue necrosis, enthusiasm for their use has waned. In this review, we discuss the various methods for reinforcement and reapproximation of the aortic stump during operations for acute aortic dissection, mainly outside the category of surgical glues.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, Japan

    Nobuhisa Ohno

  2. Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Kenji Minatoya

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  1. Nobuhisa Ohno
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  2. Kenji Minatoya
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Correspondence to Kenji Minatoya.

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Kenji Minatoya and Nobuhisa Ohno have no conflicts of interest to declare.

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Ohno, N., Minatoya, K. Reinforcement and reapproximation of the aortic stump during surgery for acute aortic dissection. Surg Today 49, 645–648 (2019). https://doi.org/10.1007/s00595-018-1758-0

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  • DOI: https://doi.org/10.1007/s00595-018-1758-0

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