Abstract
SummaryBackgroundIn this study, we describe the technique of eversion of the native aortic tissue to prevent suture line complications, and report on our results with this technique.MethodsA total of 42 patients who were operated on due to aortic aneurysm were retrospectively assessed. In all patients, an aortic segment of approximately 2 cm, which was left both distally and proximally, was everted to form a doublelayer lumen and the grafts were anastomosed. Postoperative outcomes and long-term follow-up results were assessed.ResultsAortic root replacement was done in 14 cases and eight subjects underwent concurrent coronary artery bypass surgery. Postoperatively, the average volume of the drainage was 375 ± 75 ml, and there were no re-operations. Twentyseven patients required blood transfusion.ConclusionReinforcement of the anastomosis line via eversion of the native aortic tissue reduced peri-operative blood loss and pseudo-aneurysm and infection, with the advantage of using viable tissue.
Highlights
In this study, we describe the technique of eversion of the native aortic tissue to prevent suture line complications, and report on our results with this technique
Aortic root replacement was done in 14 cases and eight subjects underwent concurrent coronary artery bypass surgery
We present our results of a group of patients who underwent ascending aortic tube graft replacement with eversion of the aortic tissue in the stump and minimal or no use of pledgetted sutures/bands to avoid postoperative bleeding, pseudo-aneurysm and infection
Summary
We describe the technique of eversion of the native aortic tissue to prevent suture line complications, and report on our results with this technique. Methods: A total of 42 patients who were operated on due to aortic aneurysm were retrospectively assessed. An aortic segment of approximately 2 cm, which was left both distally and proximally, was everted to form a doublelayer lumen and the grafts were anastomosed. Postoperative outcomes and long-term follow-up results were assessed. Results: Aortic root replacement was done in 14 cases and eight subjects underwent concurrent coronary artery bypass surgery. Conclusion: Reinforcement of the anastomosis line via eversion of the native aortic tissue reduced peri-operative blood loss and pseudo-aneurysm and infection, with the advantage of using viable tissue
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