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Ann Thorac Surg 2007;83:1626-1627
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Scott A. LeMaire, MD

Division of Cardiothoracic Surgery, Baylor College of Medicine, Cardiovascular Surgery Service, The Texas Heart Institute at St. Luke’s Episcopal Hospital, One Baylor Plaza, BCM 390, Houston, TX 77030

(Email: slemaire@bcm.edu).

The first 20% of the full text of this article appears below.

In this report, Hata and colleagues [1] describe the incidence and treatment of pseudoaneurysms that developed after repairing ascending aortic dissections with gelatin-resorcinol-formaldehyde (GRF) glue. This aldehyde-based adhesive, also known as "French glue," has excellent bonding strength and has been particularly useful for reapproximating the layers of the dissected aorta, reinforcing weakened aortic tissue, and improving anastomotic hemostasis. Although GRF glue is widely used in Europe and Asia, concerns about toxicity have prevented its approval for use in the United States.

The authors describe 68 patients who underwent repair of acute ascending aortic dissection during nearly an 11-year period; GRF glue was used in 56 of the cases (82%). Adverse outcomes included bleeding requiring reoperation in 7 patients (10%), stroke in . . . [Full Text of this Article]


Related Article

Late Complications of Gelatin-Resorcin-Formalin Glue in the Repair of Acute Type A Aortic Dissection
Hiroki Hata, Hiroshi Takano, Goro Matsumiya, Norihide Fukushima, Naomasa Kawaguchi, and Yoshiki Sawa
Ann. Thorac. Surg. 2007 83: 1621-1626. [Abstract] [Full Text] [PDF]





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