1. Aortic Root Reconstruction with TachoSil Fibrin Sealant Patch in Acute Type A Aortic Dissection
- Author
-
Radosław Gocoł, Jarosław Bis, Damian Hudziak, Łukasz Morkisz, and Marek A. Deja
- Subjects
Pulmonary and Respiratory Medicine ,Aortic valve ,aortic valve regurgitation ,medicine.medical_specialty ,Aortic root ,New Methods ,Fibrin Tissue Adhesive ,030204 cardiovascular system & hematology ,aortic root reconstruction ,Fibrin ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Aortic valve regurgitation ,Aorta ,Computed tomography angiography ,Aged ,Aortic dissection ,acute aortic dissection ,medicine.diagnostic_test ,biology ,business.industry ,Sealant ,Gastroenterology ,Thrombin ,Fibrinogen ,General Medicine ,TachoSil ,Middle Aged ,medicine.disease ,Surgery ,Aortic Dissection ,Drug Combinations ,medicine.anatomical_structure ,Treatment Outcome ,030228 respiratory system ,biology.protein ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business - Abstract
Purpose: We propose a novel technique for reconstruction of the dissected aortic root with the use of TachoSil fibrin sealant patch. Methods: Patients with acute type A aortic dissection involving the aortic root were included. Appropriately prepared TachoSil fibrin sealant patch was placed between the dissected layers of the aortic root to achieve their durable fusion. Thus, the false lumen was eliminated, and the anatomical and functional structure of the aortic wall was restored. Results: In all, 13 patients mean aged 57 ± 10.3 years underwent surgery for acute type A aortic dissection with the use of TachoSil fibrin sealant patch. All patients survived the surgery. The mean follow-up time was 30.8 ± 16.4 months. Follow-up computed tomography angiography (CTA) scans confirmed no aortic root dissection in all patients. Conclusions: This technique ensures durable restoration of the aortic wall structure, eliminates the secondary aortic valve regurgitation, and allows for the preservation of patients’ native aortic valve.
- Published
- 2021