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Suture line reinforcement using suction-assisted bioglue application during surgery for acute aortic dissection

Special Hospital for Cardiac Surgery ‘Filip II’, 1000 Skopje, Macedonia

*Corresponding author. Tel.: +389 2 3091500; fax: +389 2 3091499.

E-mail address: hristov{at}cardiosurgery.com.mk (N. Hristov).

Bioglue 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 ml/day, 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.

Key Words: Aortic dissection; Glue; Bioglue; Hemostasis