REOPERATIVE AORTIC ROOT SURGERY LATE AFTER USE OF HISTO-ACRYL

Cardiovascular reoperations after the use of histo-acryl are extremely rare. A patient is described, who underwent an aortic root replacemen t according to Bentall's technique, for a postdissectional aneurysm. A t that time, to achieve hemostasis, histo-acryl adhesive was applied a nd a Cabrol's fistula was created. Fourteen years later, a recurrent ' false', aneurysm had developed and the fistula had a hemodynamically s ignificant left-right shunt. At reoperation, the composite graft was r eplaced by a cryopreserved aortic root allograft with long coronary ar teries. To our knowledge, this is the first report of a cardiovascular reoperation after previous use of histo-acryl. This patient also meri ts attention as to the fact that it illustrates a failure of a modifie d Cabrol's procedure. Copyright (C) 1997 Elsevier Science B.V.