Abstract
We developed the new clip for gelatin-resorcin-formalin (GRF) glue (Ki-clip) and reinforcement of the suture line using a felt strip in the surgical treatment of acute aortic dissection. Between February, 2005 and January, 2006, 6 patients underwent surgical treatment for Stanford A type acute aortic dissection. Their mean age was 75.2 ± 6.0 year. Two patients underwent ascending aorta replacement, and 4 patients underwent total arch replacement. The shape of the Ki-clip resembles two overlapping combs at the tip. This characteristic makes it possible to stitch felt strips for reinforcement of the aorta through the combs, while clamping the adventitia and intima. In addition, after suturing the vascular graft, we tightened the outside felt to decompress the false lumen. The average operation time was 323.0 ± 43.0 min, the average operative bleeding was 750.0 ± 596.5 cc, and the average blood transfusion during operation was 7.8 ± 5.9 units (MAP), 7.0 ± 3.9 units (FFP), 8.3 ± 4.1 units (PC). There was no re-do surgery for hemostasis. The new clip for GRF glue and tightening the outside felt to decompress the false lumen was easy to use and was effective for hemostasis in the surgical treatment of acute aortic dissection.
