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Pseudoaneurysm rupture after acute Type A dissection repair: possible reaction to BioGlue
Toshiro Kobayashi1, Hiroshi Kurazumi1, Masafumi Sato1
1Department of Surgery, Saiseikai Yamaguchi General Hospital, Yamaguchi, Japan.
Abstract:
A 45-year-old man with acute Type A aortic dissection underwent the ascending aorta replacement with BioGlue (CryoLife Europa, Guildford, Surrey, UK) for anastomotic reinforcement. Postoperatively, he developed descending aortic dilation, a giant mediastinal cyst, Henoch-Schonlein purpura and an anastomotic-site pseudoaneurysm rupture. A BioGlue-induced inflammatory reaction was likely, according to a positive patch test (delayed allergic reaction).
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