European Journal of Cardio-Thoracic Surgery, Vol 11, 997-1000, Copyright © 1997 by European Association for Cardio-thoracic Surgery
Reoperations after dacron patch aortoplasty with heparinized femoro- femoral bypass
M Roth, EP Bauer, O Reuthebuch and WP Klovekorn
Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Max Planck Institute, Bad Nauheim, Germany.
Dacron patch aortoplasty used to be a standard therapy in some surgical
units. Occurrence of aneurysm formation after this procedure is well known.
The incidence of aneurysms is reported to be 0-35% with a high risk of
lethal rupture. We report three cases of aneurysm repair of the descending
thoracic aorta after dacron patch aortoplasty using femoro- femoral
extracorporeal system. Heparin-coated system was used primarily to prevent
ischemic spinal cord injury through hypotension of the distal aorta and
secondarily to reduce the risk of intraoperative hemorrhage.