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Ann Thorac Surg 2001;72:922-924
© 2001 The Society of Thoracic Surgeons

Case report

Glue aortoplasty repair of aortic dissection after coronary angioplasty

Alsir A.M. Ahmed, FRCSa, Vaikom S. Mahadevan, MRCPb, Samuel W. Webb, FRCPb, Simon W. MacGowan, FRCSI (CTh)a,b

a Cardiac Surgical Unit, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom
b Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom

Accepted for publication September 22, 2000.

Address reprint request to Mr MacGowan, Cardiac Surgical Unit, The Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland
e-mail: simon.macgowan{at}royalhospitals.n-i.nhs.uk

Aortic dissection complicating percutaneous transluminal coronary angioplasty is rare. We report the case of a 45-year-old man who after right coronary artery angioplasty with stenting, dissected that vessel to involve the aorta to the bifurcation. Surgical repair with Gelatin-Resorcinol-Formaldehyde (GRF) glue as opposed to prosthetic graft replacement of the ascending aorta was successful. The use of GRF glue is effective in the surgical treatment of aortic dissection after coronary angioplasty.






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