Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective
Background: Hemorrahage after coronary re-implantation during a Bentall surgery is a rare complication. In case of friable tissue, the use of a felt disc usually solves the problem. The use of resorcinol-formol-glue should be avoided to prevent tissue damage. Extrinsic compression of the coronary ar...
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2007
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| Acceso en línea: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_15699293_v6_n4_p511_Trivi http://hdl.handle.net/20.500.12110/paper_15699293_v6_n4_p511_Trivi |
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paper:paper_15699293_v6_n4_p511_Trivi2023-06-08T16:24:12Z Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective Aneurysm Angioplasty Aorta Bentall procedure Coronary angiography Transesophageal echocardiography acetylsalicylic acid clopidogrel tissue adhesive warfarin formaldehyde gelatin gelatin resorcinol formaldehyde tissue adhesive gelatin-resorcinol-formaldehyde tissue adhesive resorcinol derivative tissue adhesive unclassified drug adult anamnesis angiocardiography aorta aneurysm aorta valve stenosis article case report coronary artery coronary artery obstruction coronary stent heart catheterization heart muscle ischemia hospital admission hospital discharge human male priority journal transesophageal echocardiography aorta aneurysm aorta valve stenosis blood vessel transplantation coronary artery obstruction coronary blood vessel drug combination heart muscle ischemia heart valve replacement hemostasis middle aged reoperation stent Aortic Aneurysm Aortic Valve Stenosis Blood Vessel Prosthesis Implantation Coronary Stenosis Coronary Vessels Drug Combinations Formaldehyde Gelatin Heart Valve Prosthesis Implantation Hemostasis, Surgical Humans Male Middle Aged Myocardial Ischemia Reoperation Resorcinols Stents Tissue Adhesives Background: Hemorrahage after coronary re-implantation during a Bentall surgery is a rare complication. In case of friable tissue, the use of a felt disc usually solves the problem. The use of resorcinol-formol-glue should be avoided to prevent tissue damage. Extrinsic compression of the coronary arteries has been reported with the use of this surgical glue. Case: We report a rare case of extrinsic compression of both coronary arteries after a Bentall procedure. A 50-year-old man with severe aortic valve stenosis, without coronary disease and an ascending aortic aneurysm, underwent a modified Bentall procedure with insertion of a valved tube and coronary reimplantation using surgical glue. Seven weeks later he suffered severe acute coronary ischemia and both coronary ostium were compressed by a dense and hard fibrose material. Three months after stenting, the patient required coronary surgery because of severe myocardial ischemia. Transesophageal and intracoronary ultrasounds were useful for the diagnosis of this rare complication. Conclusions: Use of glue should be avoided for coronary reimplantation during Bentall surgery. In cases of external ostial compression by glue reaction, stenting may be ineffective and surgical coronary revascularization may be needed. © 2007 Published by European Association for Cardio-Thoracic Surgery. All rights reserved. 2007 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_15699293_v6_n4_p511_Trivi http://hdl.handle.net/20.500.12110/paper_15699293_v6_n4_p511_Trivi |
| institution |
Universidad de Buenos Aires |
| institution_str |
I-28 |
| repository_str |
R-134 |
| collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
Aneurysm Angioplasty Aorta Bentall procedure Coronary angiography Transesophageal echocardiography acetylsalicylic acid clopidogrel tissue adhesive warfarin formaldehyde gelatin gelatin resorcinol formaldehyde tissue adhesive gelatin-resorcinol-formaldehyde tissue adhesive resorcinol derivative tissue adhesive unclassified drug adult anamnesis angiocardiography aorta aneurysm aorta valve stenosis article case report coronary artery coronary artery obstruction coronary stent heart catheterization heart muscle ischemia hospital admission hospital discharge human male priority journal transesophageal echocardiography aorta aneurysm aorta valve stenosis blood vessel transplantation coronary artery obstruction coronary blood vessel drug combination heart muscle ischemia heart valve replacement hemostasis middle aged reoperation stent Aortic Aneurysm Aortic Valve Stenosis Blood Vessel Prosthesis Implantation Coronary Stenosis Coronary Vessels Drug Combinations Formaldehyde Gelatin Heart Valve Prosthesis Implantation Hemostasis, Surgical Humans Male Middle Aged Myocardial Ischemia Reoperation Resorcinols Stents Tissue Adhesives |
| spellingShingle |
Aneurysm Angioplasty Aorta Bentall procedure Coronary angiography Transesophageal echocardiography acetylsalicylic acid clopidogrel tissue adhesive warfarin formaldehyde gelatin gelatin resorcinol formaldehyde tissue adhesive gelatin-resorcinol-formaldehyde tissue adhesive resorcinol derivative tissue adhesive unclassified drug adult anamnesis angiocardiography aorta aneurysm aorta valve stenosis article case report coronary artery coronary artery obstruction coronary stent heart catheterization heart muscle ischemia hospital admission hospital discharge human male priority journal transesophageal echocardiography aorta aneurysm aorta valve stenosis blood vessel transplantation coronary artery obstruction coronary blood vessel drug combination heart muscle ischemia heart valve replacement hemostasis middle aged reoperation stent Aortic Aneurysm Aortic Valve Stenosis Blood Vessel Prosthesis Implantation Coronary Stenosis Coronary Vessels Drug Combinations Formaldehyde Gelatin Heart Valve Prosthesis Implantation Hemostasis, Surgical Humans Male Middle Aged Myocardial Ischemia Reoperation Resorcinols Stents Tissue Adhesives Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| topic_facet |
Aneurysm Angioplasty Aorta Bentall procedure Coronary angiography Transesophageal echocardiography acetylsalicylic acid clopidogrel tissue adhesive warfarin formaldehyde gelatin gelatin resorcinol formaldehyde tissue adhesive gelatin-resorcinol-formaldehyde tissue adhesive resorcinol derivative tissue adhesive unclassified drug adult anamnesis angiocardiography aorta aneurysm aorta valve stenosis article case report coronary artery coronary artery obstruction coronary stent heart catheterization heart muscle ischemia hospital admission hospital discharge human male priority journal transesophageal echocardiography aorta aneurysm aorta valve stenosis blood vessel transplantation coronary artery obstruction coronary blood vessel drug combination heart muscle ischemia heart valve replacement hemostasis middle aged reoperation stent Aortic Aneurysm Aortic Valve Stenosis Blood Vessel Prosthesis Implantation Coronary Stenosis Coronary Vessels Drug Combinations Formaldehyde Gelatin Heart Valve Prosthesis Implantation Hemostasis, Surgical Humans Male Middle Aged Myocardial Ischemia Reoperation Resorcinols Stents Tissue Adhesives |
| description |
Background: Hemorrahage after coronary re-implantation during a Bentall surgery is a rare complication. In case of friable tissue, the use of a felt disc usually solves the problem. The use of resorcinol-formol-glue should be avoided to prevent tissue damage. Extrinsic compression of the coronary arteries has been reported with the use of this surgical glue. Case: We report a rare case of extrinsic compression of both coronary arteries after a Bentall procedure. A 50-year-old man with severe aortic valve stenosis, without coronary disease and an ascending aortic aneurysm, underwent a modified Bentall procedure with insertion of a valved tube and coronary reimplantation using surgical glue. Seven weeks later he suffered severe acute coronary ischemia and both coronary ostium were compressed by a dense and hard fibrose material. Three months after stenting, the patient required coronary surgery because of severe myocardial ischemia. Transesophageal and intracoronary ultrasounds were useful for the diagnosis of this rare complication. Conclusions: Use of glue should be avoided for coronary reimplantation during Bentall surgery. In cases of external ostial compression by glue reaction, stenting may be ineffective and surgical coronary revascularization may be needed. © 2007 Published by European Association for Cardio-Thoracic Surgery. All rights reserved. |
| title |
Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| title_short |
Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| title_full |
Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| title_fullStr |
Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| title_full_unstemmed |
Ostial stenosis after Bentall technique using glue: Percutaneous stenting may be ineffective |
| title_sort |
ostial stenosis after bentall technique using glue: percutaneous stenting may be ineffective |
| publishDate |
2007 |
| url |
https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_15699293_v6_n4_p511_Trivi http://hdl.handle.net/20.500.12110/paper_15699293_v6_n4_p511_Trivi |
| _version_ |
1768543102432182272 |