Suehiro Kotaro, Hata Takato, Yoshitaka Hidenori, Tsushima Yoshimasa, Matsumoto Mitsuaki, Ohtani Satoru, Nagao Atsuki, Miyahara Yoshinori, Satoh Daisuke
Department of Cardiovascular Surgery, Sakakibara Hospital Cardiovascular Center, Okayama, Japan.
Jpn J Thorac Cardiovasc Surg. 2003 Dec;51(12):641-5. doi: 10.1007/s11748-003-0001-z.
To investigate the impact of two different sealed Dacron vascular branched prostheses on the early postoperative period, 30 patients whose aortic arch was replaced by either a collagen-coated (n=18) or a gelatine-impregnated (n=12) branched prosthesis were retrospectively studied. The patients who received a collagen-coated branched prosthesis required longer chest drainage (11.9+/-5.2 vs. 7.9+/-4.6 days, p<0.05). On the other hand, higher white cell count on 7th postoperative day (9,406+/-3,485 vs. 11,810+/-4,378/microL, p<0.05) was observed in the patients with a gelatine-impregnated branched prosthesis. Biocompatibility of the prostheses could affect the early postoperative course, therefore these specific impacts should be considered to manage the patients with these prostheses.
