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Ann Thorac Surg 1989;48:706-708
© 1989 The Society of Thoracic Surgeons

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Articles

Use of pericardium to control bleeding after ascending aortic graft replacement

^a Pacific Presbyterian Medical Center, San Francisco, California, USA
^b Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts USA

Accepted for publication April 10, 1989.

^_* Address reprint requests to Di Szarnicki, Pacific Presbyterian Medical Center, Suite 411, 2100 Webster St, San Francisco, CA 94115.

We present the case of a patient who required replacement of an ascending aortic composite graft for endocarditis complicated by uncontrollable bleeding from the proximal anastomotic site. A new method of creating a right atrial-to-periprosthetic space fistula with autologous pericardium was used with a favorable result.

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				N. T. Kouchoukos Aortic graft-valve (composite) replacement at 20 years: Wrap or no wrap? Shunt or no shunt? Ann. Thorac. Surg., November 1, 1989; 48(5): 615 - 616. [PDF]