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Eur J Cardiothorac Surg 2005;28:869-870
© 2005 Elsevier Science NL

Editorial comment

Reinforcing the anastomotic cuff in aortic dissection

Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland

^_* Tel.: +41 21 314 2596; fax: +41 21 314 2278. (Email: martyb@hopcantfr.ch).

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The dissected aorta is prone to anastomotic complications such as bleeding and dehiscence. The aortic wall is friable due to medial cystic necrosis, fragmentation of the elastic lamellae, focal fibrosis, and the dissecting hematoma between the middle and the outer third of the media. Yet the adventitial layer remains intact [1]. Current methods to reinforce the aorta make use of Teflon or Dacron strips and biologic glue. Resulting possible disadvantages are difficulties to accurately localize anastomotic bleeding and a bulky anastomosis predisposing . . . [Full Text of this Article]