In operations for aortic dissection anastomotic bleeding or secondary anast
omosis dehiscence are common problems. The advent of Gelatin-resorcin-forma
ldehyde-glutaraldehyde (GRF) biologic glue has ameliorated type A dissectio
n operative management. Glue containment is mandatory since detrimental eff
ects of glue migration are described. We herein present a simple technique
of anastomosis reinforcement and glue containment that helps in overcoming
these complications. (Ann Thorac Surg 1999;67:1510-1) (C) 1999 by The Socie
ty of Thoracic Surgeons.