AVOIDING BLOW-OUT OF THE AORTIC STUMP BY REINFORCEMENT WITH FIBRIN GLUE - A REPORT OF 2 CASES

被引:12
作者
GLIMAKER, H
BJORCK, CG
HALLSTENSSON, S
OHLSEN, L
WESTMAN, B
机构
[1] Department of Surgery, Central Hospital, Falun
[2] Department of Plastic Surgery, University Hospital, Uppsala
来源
EUROPEAN JOURNAL OF VASCULAR SURGERY | 1993年 / 7卷 / 03期
关键词
AORTIC PROSTHESIS; INFECTION; FISTULAS; AORTIC STUMP CLOSURE; FIBRIN GLUE;
D O I
10.1016/S0950-821X(05)80022-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Generally vascular surgeons agree that the most rational way to treat a patient with an infected aortic graft or aortoenteric fistula is excision of the graft, closure of the aortic stump and construction of an axillobifemoral bypass. Due to the feared complication of blow-out of the aortic stump, other solutions have been proposed, such as in-situ reconstruction with homologous saphenous veins or even with a synthetic graft, provided the perigraft fluid is non-purulent. Since this alternative is not always feasible, various methods to reinforce the closure of the aortic stump have been proposed. The present report describes two cases, where fibrin glue (Tisseel) was successfully used to reinforce the suture row of the aortic stump. © 1993 Grune & Stratton Ltd.
引用
收藏
页码:346 / 348
页数:3
相关论文
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