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Ann Thorac Surg 1989;48:686-688
© 1989 The Society of Thoracic Surgeons

Articles

Thromboembolism from undersized Dacron grafts in the descending thoracic aorta

Alain Verdant, MD, FRCS(C)*, Arthur Pagé, MD, FRCS(C), Richard Baillot, MD, FRCS(C)

Division of Cardiovascular and Thoracic Surgery, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Québec, Canada

Accepted for publication August 2, 1989.

* Address reprint requests to Dr Verdant, 12245, Grenet 303, Montréal, Qué, Canada H4J 2J6.

Three patients were referred to our institution for major thromboembolic complications secondary to the use of undersized Dacron grafts (14, 16, and 18 mm) in the descending thoracic aorta. The progressive accumulation of thrombotic material in the prosthesis caused recurrent coarctation in 1 patient and peripheral embolisms in the other 2. With a 9-mm Gott shunt providing distal perfusion, excision of the clotted graft and its replacement with a 22-mm Dacron prosthesis was successfully achieved in each patient.






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