Roth M, Bauer E P, Reuthebuch O, Klövekorn W P
Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic, Max Planck Institute, Bad Nauheim, Germany.
Eur J Cardiothorac Surg. 1997 May;11(5):997-1000. doi: 10.1016/s1010-7940(97)01171-8.
Dacron patch aortoplasty used to be a standard therapy in some surgical units. Occurrence of aneurysm formation after this procedure is well known. The incidence of aneurysms is reported to be 0-35% with a high risk of lethal rupture. We report three cases of aneurysm repair of the descending thoracic aorta after dacron patch aortoplasty using femoro-femoral extracorporeal system. Heparin-coated system was used primarily to prevent ischemic spinal cord injury through hypotension of the distal aorta and secondarily to reduce the risk of intraoperative hemorrhage.
