[Coronary Embolism Probably Caused by Surgical Glue after Operation for Acute Aortic Dissection;Report of a Case]

Kyobu Geka. 2016 Jul;69(7):548-51.
[Article in Japanese]

Abstract

A 70-year-old female underwent an emergency replacement of the ascending aorta for acute aortic dissection. We used surgical adhesive BioGlue and teflon felt strips to reinforce the dissected aortic wall. On the 5th post operative day, electrocardiogram showed ischemic inverted T wave and the serum creatine phosphokinase level elevated without any symptoms such as chest pain or low blood pressure. By coronary angiography, severe stenosis was detected of the left descending coronary artery, and percutaneous coronary intervention was performed. Intravascular ultrasound images revealed that no atherosclerotic components were present in the embolic materials. As a result of in vitro examination, that material was probably a fragment of the BioGlue. The patient was discharged on foot 23 days after surgery.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aorta / surgery*
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / methods
  • Coronary Vessels* / diagnostic imaging
  • Drug-Eluting Stents
  • Embolism / diagnostic imaging
  • Embolism / etiology*
  • Embolism / therapy
  • Female
  • Fibrin Tissue Adhesive / adverse effects*
  • Humans
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology*
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional

Substances

  • Fibrin Tissue Adhesive