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Ann Thorac Surg 1991;52:874-876
© 1991 The Society of Thoracic Surgeons

Articles

Dacron mesh wrapping to support the aneurysmally dilated or friable ascending aorta

Eli Milgalter, MD*, Hillel Laks, MD

Division of Cardiothoracic Surgery, University of California, Los Angeles, Medical Center, Los Angeles, California USA

Accepted for publication June 28, 1991.

* Address reprint requests to Dr Milgalter, Division of Cardiothoracic Surgery, UCLA Medical Center, 10833 LeConte Ave, Los Angeles, CA 90024-1741.

A technique of supporting the aneurysmally dilated or friable ascending aorta using a fine Dacron mesh is described. In patients with aneurysmal dilatation of the ascending aorta, longitudinal resection of a portion of the aneurysm combined with wrapping can avoid replacement with a synthetic graft. The Dacron mesh, because of its transparency and ability to stretch, allows a more accurate fit over the aorta, avoids hematoma formation, provides visualization of suture lines after wrapping, and facilitates proximal vein graft anastomoses for combined aortocoronary bypass.




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