Abstract
We report the efficacy of BioGlue®, (CryoLife Inc, Kennesaw, GA, USA) in emergency surgery for acute type A aortic dissection. Between August 2011 and April 2012, seven patients underwent ascending aorta replacement for type A aortic dissection in our institution. At the time of surgery, the aortic stumps were reinforced with BioGlue®. The average durations of the operation, cardiopulmonary bypass, and circulatory arrest were 217 ± 32.7, 129 ± 17.5 and 25.4 ± 3.4 min, respectively. There were no incidents of operative death or postoperative complications. Postoperative enhanced computed tomography revealed that there was no patent false lumen in the aortic root or aortic pseudoaneurysm at the anastomotic site in any of the patients. Furthermore, thrombosed false lumen was found in the descending aorta in 5 patients. It was considered that BioGlue® might be effective in providing very quick adhesion of the false lumen during emergency surgery for acute type A aortic dissection.
