Goossens D, Brutel de la Rivière A, Ernst S, Vermeulen F
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.
Eur J Cardiothorac Surg. 1997 Jan;11(1):194-5. doi: 10.1016/s1010-7940(96)01086-x.
Cardiovascular reoperations after the use of histo-acryl are extremely rare. A patient is described, who underwent an aortic root replacement according to Bentall's technique, for a postdissectional aneurysm. At that time, to achieve hemostasis, histo-acryl adhesive was applied and a Cabrol's fistula was created. Fourteen years later, a recurrent 'false', aneurysm had developed and the fistula had a hemodynamically significant left-right shunt. At reoperation, the composite graft was replaced by a cryopreserved aortic root allograft with long coronary arteries. To our knowledge, this is the first report of a cardiovascular reoperation after previous use of histo-acryl. This patient also merits attention as to the fact that it illustrates a failure of a modified Cabrol's procedure.
使用组织黏合剂（Histo - acryl）后进行心血管再次手术极为罕见。本文描述了一名患者，该患者因夹层动脉瘤破裂接受了 Bentall 技术的主动脉根部置换术。当时，为实现止血，应用了组织黏合剂并建立了 Cabrol 瘘。十四年后，出现了复发性“假性”动脉瘤，且该瘘存在具有血流动力学意义的左右分流。再次手术时，将复合移植物替换为带有长冠状动脉的低温保存主动脉根部同种异体移植物。据我们所知，这是首次关于先前使用组织黏合剂后进行心血管再次手术的报告。该患者还值得关注，因为它说明了改良 Cabrol 手术的失败。
