Abstract
Objectives: The use of tissue-glues to repair disrupted layers during surgical repair of acute aortic dissections type-A (AADA) is often discontinuous, may not achieve sufficient reinforcement, entails the risk of redissection and embolisation and is costly. We report a concept of matrix based repair (MBR) of dissected aortic tissue with a collagen matrix double layer coated with fibrinogen/thrombin on either side (TachoSil ®; Nycomed). The matrix is converted into collagen within 3 months, thereby hypothetically creating a “neo-media”.
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