[Re-dissection of aortic root without gelatin-resorcin-formalin (GRF) glue effect one year after aortic repair]

Kyobu Geka. 2003 Mar;56(3):211-5.
[Article in Japanese]

Abstract

A 58-year-old man, who had undergone emergency graft replacement of ascending and total aortic arch using gelatin-resorcin-formalin (GRF) glue 1 year before, complained of progressive shortness of breath. Ultrasound cardiography revealed severe aortic regurgitation and dissecting aneurysm of aortic root. He underwent composite graft replacement with the aid of the right axillary artery perfusion and deep hypothermic circulatory arrest. The redissected brownish intima was identified in the area of noncoronary cusp. There was no special finding in the subsequent histopathological examination. The use of GRF glue for reconstructing the dissected aortic root is associated with a certain amount of risk of aortic wall redissection. Therefore, care should be taken to ensure proper use of GRF glue.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / etiology*
  • Aortic Dissection / surgery
  • Blood Vessel Prosthesis Implantation*
  • Drug Combinations*
  • Formaldehyde*
  • Gelatin*
  • Heart Valve Prosthesis Implantation*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications*
  • Resorcinols*

Substances

  • Drug Combinations
  • Resorcinols
  • gelatin-resorcinol-formaldehyde tissue adhesive
  • Formaldehyde
  • Gelatin