Abstract
Bleeding is a risk factor which can lead to unsatisfactory initial results of the surgical treatment of acute aortic dissection. In the early 21st century, the approximation technique of the dissected aortic root, using gelatine-resorcin-formaldehyde (GRF) glue was performed in our hospital. No bleeding complication was observed with this method, but in 2 cases of aortic root pseudoaneurysm developed. From January 2006 through June 2008, we applied adventitial inversion to 16 cases of the Stanford type A acute aortic dissection, using the approximation technique in 16 cases. The mean age was 66.8 years old (range 58–74 years) and 10 were women. In 7 cases of ascending aortic replacement, adventitial inversion was performed at both ends. In 9 cases of total arch replacement, adventitial inversion (aortic root approximation) was used to and a distal approximation was performed with the elephant trunk method. There were no bleeding complications, and the 30-day mortality rate was 0%. There was no aortic root pseudoaneurysm formations detected on computed tomography for 3 years. This technique enabled a safe and secure anastomosis, and no bleeding complications occurred at from the anastomostic site.
