A CASE REPORT OF SURGICAL TREATMENT WITH GRF GLUE FOR STANFORD TYPE A ACUTE AORTIC DISSECTION

Abstract

A 45-year-old male suddenly felt epigatralgia and was diagnosed Stanford type A acute aortic dissection by chest CT, so we underwent emergent operation. The entry was seen just distal of his aortic valve and we underwent graft replacement for only ascending aorta with 28 mm Hemashield. We used GRF glue and felt for both aortic stump reconstruction. With use of both, we could reinforce the weak dissected wall and reduce intraoperative bleeding from anastmosed leson. And complete atrioventricular block which was reported as the complication of GRF glue was not recognized.