Von Oppell U O, Chimuka D, Brink J G, Zilla P
Department of Cardiothoracic Surgery, University of Cape Town, South Africa.
Ann Thorac Surg. 1995 Mar;59(3):761-3. doi: 10.1016/0003-4975(94)00775-6.
Gelatin-resorcin-formaldehyde-glutaraldehyde (GRF) biologic glue is an available adjunct to repair acute ascending aortic dissections. Permanent complete heart block complicated the operative repair of 2 of 6 patients. The pathophysiology of heart block resulting from either the acute dissecting process or the technique of applying GRF glue is discussed.