for acute aortic dissection Suture line reinforcement using suction-assisted bioglue application during surgery http://icvts.ctsnetjournals.org/cgi/content/full/6/2/147 located on the World Wide Web at:The online version of this article, along with updated information and services, is
AbstractBioglue has been widely and variously applied in treating acute aortic dissection according to the pathological process and surgeon's preference. This publication outlines a new hemostatic technique using suction-assisted bioglue application for aortic suture line reinforcement during surgery on acute aortic dissection. Twenty consecutive patients were treated in our center for acute aortic dissection using this technique. There were no bleeding complications during surgery and there were no re-explorations or early deaths as a result of bleeding. Average daily chest tube drainage was 582"150 mlyday, with the duration of drainage of 2"0.9 days. In conclusion, this new hemostatic technique is simple to use and demonstrates excellent, immediate and early postoperative results.
H~:f7P" ' Mckellar Stephen H., Sundt Thoralf M., Schaff Hartzell V , ND: Percutaneous aortic valve implantation is an alternative . candidates. The antegrade, trans-apical approach may .,ru'''nt.np'~over retrograde or transseptal techniques due to simplified to delivery and the avoidance of arterial anatomy or pathology. Aortic Implantation via a mini-thoracotomy and left ventricular apical puncture described. We propose a novel transabdominal , transdiaphragmatic to transapical aortic valve delivery using laparoscopic instruments. our initial in vivo animal and human cadaver experience withThe apex of the left ventricle was exposed in four swine and cadaver. Laparoscopic ports were introduced into the abdomen, to the mediastinum was obtained through the diaphragm . A purse-string suture was applied laparoscopically to the beating I It was possible to insert a 10mm glass rod into the LVOT purse-string suture. The apices of the hearts were easily exposed in all cases through m. The mean time required to expose the LV apex once were placed was 20 minutes. The pleural cavities were visualization of the intrapericardial anatomy was possible 'ClU
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