Pseudoaneurysm rupture after acute Type A dissection repair: possible reaction to BioGlue

Abstract A 45-year-old man with acute Type A aortic dissection underwent the ascending aorta replacement with BioGlue (CryoLife Europa, Guildford, Surrey, UK) for anastomotic reinforcement. Postoperatively, he developed descending aortic dilation, a giant mediastinal cyst, Henoch–Schonlein purpura a...

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Bibliographic Details
Published in:	Interactive cardiovascular and thoracic surgery Vol. 26; no. 2; pp. 331 - 332
Main Authors:	Kobayashi, Toshiro, Kurazumi, Hiroshi, Sato, Masafumi, Gohra, Hidenori
Format:	Journal Article
Language:	English
Published:	England Oxford University Press 01-02-2018
Subjects:	Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - surgery Aneurysm, False - diagnosis Aneurysm, False - etiology Aneurysm, False - surgery Aneurysm, Ruptured - diagnosis Aneurysm, Ruptured - etiology Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery Humans Male Middle Aged Postoperative Complications Proteins - adverse effects Tomography, X-Ray Computed Biological glue Complication Aortic dissection
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Summary:	Abstract A 45-year-old man with acute Type A aortic dissection underwent the ascending aorta replacement with BioGlue (CryoLife Europa, Guildford, Surrey, UK) for anastomotic reinforcement. Postoperatively, he developed descending aortic dilation, a giant mediastinal cyst, Henoch–Schonlein purpura and an anastomotic-site pseudoaneurysm rupture. A BioGlue-induced inflammatory reaction was likely, according to a positive patch test (delayed allergic reaction).
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1569-9293 1569-9285
DOI:	10.1093/icvts/ivx331