In Situ Reconstruction with a Rifampicin-Bonded Gelatin-Sealed Dacron Graft for Pseudoaneurysm after Root Replacement

(Department of Cardiovascular Surgery, Nagoya-Daini Red-Cross Hospital, Nagoya, Japan)

Wataru Kato Kazuyoshi Tajima Sachie Terasawa
Keisuke Tanaka Jinnichi Iwase Akinori Io
A 58-year-old man underwent aortic root replacement for annuloaortic ectasia (AAE) and aortic regurgitation (AR). The patient was readmitted because of chest discomfort 3 months after the first operation. Computed tomography showed a pseudoaneurysm of the ascending aorta. Re-aortic root replacement was done on an emergency basis. However, 16 days after the second operation, a pseudoaneurysm was revealed by computed tomography. The third operation was successfully performed using a rifampicin-bonded gelatin-sealed Dacron graft (GELSEAL®; Sulzer Vascutek, Glasgow, UK). The postoperative course was uneventful.
@Jpn. J. Cardiovasc. Surg. 34: 422-424 (2005)