A Reinforcement Technique for Dissected Arch Vessels Using Hydrofit During Acute Type A Aortic Dissection Repair.

Abstract

Acute type A aortic dissection is a fatal condition that presents with arch vessel dissection necessitating emergency surgical intervention and reconstruction. During surgical treatment of acute type A aortic dissection, thorough analysis is required to prevent complications while reconstructing these fragile dissected arch vessels. This study describes the surgical treatment of 8 patients with dissected arch vessels who underwent reinforcement technique for anastomosis mediated by Hydrofit® (Sanyo Chemical Industries, Kyoto, Japan). The arch vessels were anastomosed with a prosthetic graft. Following the application of Hydrofit to the suture line on the adventitia, no intraoperative bleeding was detected at the reconstruction site of the dissected arch vessels. Postoperative computed tomography revealed no new anastomotic tear or pseudoaneurysm. We highly recommend the use of this reinforcement technique with Hydrofit for the management and reconstruction of vessels involved in acute type A aortic dissection. We observed a fast and uneventful recovery, suggesting promising postoperative results.