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Eur J Cardiothorac Surg 2006;30:2-3
© 2006 Elsevier Science NL

Editorial

Closure devices: the solution for repair of direct access apertures after valved stent implantation?

Department of Cardio-Vascular Surgery, Centre Hospitalier Universitaire Vaudois, CHUV, CCV, BH 10-275, CH-1011 Lausanne, Switzerland

^_* Corresponding author. Tel.: +41 21 314 22 79; fax: +41 21 314 22 78. (Email: Ludwig.von-segesser@chuv.hospvd.ch).

The first 20% of the full text of this article appears below.

Sutures have been part of surgery from the very beginning. Despite major improvements made since the use of hemp yarn and catgut, the fact remains that most modern suture material creates holes in the tissue, which are larger than the suture that follows the needle. This in turn induces quite often some degree of unwelcome bleeding. For the application mentioned here, where an apical aperture of the heart has to be closed after the implantation of a valved stent [1,2], the risk of potential or eventual suture tearing is of major concern. There are a number of tricks to control apical bleeding including the preventive and therapeutic use of buttressed sutures with felt or . . . [Full Text of this Article]

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