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Updated: Feb 22, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Tracheal Compression Caused by a Hematoma After Redo Aortic Root Replacement
Tetsuro Uchida1, Azumi Hamasaki1, Atsushi Yamashita1
1Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Abstract:
Postoperative tracheal compression caused by hematoma is extremely rare in patients who have undergone cardiovascular operations. A 65-year-old man underwent elective redo aortic root replacement. Hemostasis was controlled with Surgicel packing (Ethicon, Somerville, NJ). After extubation, he had severe respiratory distress. The emergent computed tomographic scan showed severe obstruction of the tracheal bifurcation compressed by a hematoma around the packed Surgicel. During reexploration, a considerable hematoma was removed. He was extubated 1 day later and recovered to a good condition. In cases of unexplained respiratory failure, tracheal compression by hematoma around packed Surgicel should be considered.
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