Abstract
Acute type A aortic dissection (AAAD) remains a lethal disease. With advances in operative methods and perioperative management, surgical outcomes continue to improve, but in-hospital mortality still ranges from 10 to 30 % in most series. The surgical technique of choice for aortic root repair remains controversial. Surgical glue created a breakthrough in surgery for acute aortic dissection. We review the surgical techniques with the use of surgical glue for AAAD.
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Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore). 1958;37:217–79.
Shennan T. Dissecting aneurysm. Medical Research Council Special Report, vol 193. London: His Majesty’s Stationery Office; 1934.
Anagnostopoulos CE, Prabhakar MJS, Kittle CF. Aortic dissections and dissecting aneurysms. Am J Cardiol. 1972;30:263–73.
Lauterbach SR, Cambria RP, Brewster DC, Gertler JP, Lamuraglia GM, Isselbacher EM, et al. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surgery. 2001;33:1185–92.
DeBakey MD, Henly WS, Cooley DA, Morris GC, Crawford ES, Beakk AC. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–49.
DeBakey MD, McCollum CH, Crawford ES, Morris GC, Howell J, Noon GP, et al. Dissection and dissecting aneurysms of the aorta. Twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92:1118–34.
Meng RL, Najafi H, Javid H, Hunter JA, Goldin MD. Acute ascending aortic dissection: surgical management. Circulation. 1981; 64(Pt2):II231–4.
DeSanctis RW, Doroghazi RM, Austen WG, Buckley MJ. Aortic dissection. N Engl J Med. 1987;317:1060–7.
Miller DC, Stinson EB, Oyer PE, Rossiter SJ, Reitz BA, Griepp RB, et al. Operative treatment of aortic dissections. Experience with 125 patients over a sixteen-years period. J Thorac Cardiovasc Surg. 1979;78:365–82.
Miller DC, Mitchell RS, Oyer PE, Stinson EB, Jamieson SW, Shumway NE. Independent determinants of operative mortality for patients with aortic dissections. Circulation. 1984;70(Pt 2):I 153–64.
Fann JI, Glower DD, Miller DC, Yun KL, Rankin JS, White WD, et al. Preservation of aortic valve in type A aortic dissection complicated by aortic regurgitation. J Thorac Cardiovasc Surg. 1991;102:62–75.
Mazzucotelli JP, Deleuze PH, Baufreton C, Duval AM, Hillion ML, Loisance DY, et al. Preservation of the aortic valve in acute aortic dissection: long-term echocardiographic assessment and clinical outcome. Ann Thorac Surg. 1993;55:1513–7.
Von Segesser LK, Lorenzetti E, Lachat M, Niederhäuser U, Schönbeck M, Vogt PR, et al. Aortic valve preservation in type A aortic dissection: is it sound? J Thorac Cardiovasc Surg. 1996;111:381–91.
Collins JJ Jr, Cohn LH. Reconstruction of the aortic valve: correcting valve incompetence due to acute dissecting aneurysm. Arch Surg. 1973;106:35–7.
Kouchoukos NT, Marshall WG, Wedige-Stxcher TA. Eleven-year experience with composite graft replacement of the ascending aorta and aorta valve. J Thorac Cardiovasc Surg. 1986;92:691–705.
Braunwald NS, Gay W, Tatooles CJ. Evaluation of cross-linked as a tissue adhesive and hemostatic agent. Experimental study. Surgery. 1966;59:1024–30.
Guilmet D, Bachet J, Goudot B, Laurian C, Gigou F, Bical O, et al. Use of biological glue in acute aortic dissection. Preliminary clinical results with a new surgical technique. J Thorac Cardiovasc Surg. 1979;77:516–21.
Bachet J, Gigou F, Laurian C, Bical O, Goudot B, Guilmet D. Four-year clinical experience with the gelatine–resorcine–formol glue in acute aortic dissection. J Thorac Cardiovasc Surg. 1982;83:212–7.
Bachet J, Goudot B, Dreyfus GD, Brodaty D, Dubois C, Delentdecker P, et al. Surgery for acute type A aortic dissection: the hospital Foch experience (1977–1998). Ann Thorac Surg. 1999;67:2006–9.
Weinschelbaum EE, Schamun C, Caranutti V, Tacchi H, Cors J, Favaloro RG. Surgical treatment of acute type A dissecting aneurysm with preservation of the native aortic valve and use of biologic glue. Follow-up to 6 years. J Thorac Cardiovasc Surg. 1992;103:369–74.
Westaby S, Katsumata T, Freitas E. Aortic valve conservation in acute type A dissection. Ann Thorac Surg. 1997;64:1108–12.
Neiderhäuser U, Künzli A, Seifert B, Schmidli J, Lachat M, Zünd G, et al. Conservative treatment of the aortic root in acute type A dissection. Eur J Cardiothorac Surg. 1999;15:557–63.
Casselman FP, Tan ES, Vermeulen FE, Kelder JC, Morshuis WJ, Schepens MA. Durability of aortic valve preservation and root reconstruction in acute type A aortic dissection. Ann Thorac Surg. 2000;70:1227–33.
Kirsch M, Soustelle C, Houel R, Hillion ML, Loisance D. Risk factor analysis for proximal and distal reoperations after surgery for acute type A aortic dissection. J Thorac Cardiovasc Surg. 2002;123:318–25.
Hata M, Shiono M, Sezai A, Lida M, Negishi N, Sezai Y. Type A acute aortic dissection: immediate and mid-term results of emergency aortic replacement with the aid of gelatin resorcin formalin glue. Ann Thorac Surg. 2004;78:853–7.
Suzuki S, Imoto K, Uchida K, Takanashi Y. Aortic root necrosis after surgical treatment using. Gelatin–resorcinol–formaldehyde (GRF) glue in patients with acute type A aortic dissection. Ann Thorac Cardiovasc Surg. 2006;12:333–40.
Fukunaga S, Karck M, Harringer W, Cremer J, Rhein C, Haverich A. The use of gelatin–resorcin–formalin glue in acute aortic dissection type A. Eur J Cardiothorac Surg. 1999;15:564–70.
Bingley JA, Gradner MAH, Stanford EG, Mau TK, Pohlner PG, Tam RKW, et al. Late complications of tissue glues in aortic surgery. Ann Thorac Surg. 2000;69:1764–8.
Kazui T, Washiyama N, Bashar AHM, Terada H, Suzuki K, Yamashita K, et al. Role of biologic glue repair of proximal aortic dissection in the development of early and midterm redissection of the aortic root. Ann Thorac Surg. 2001;72:509–14.
Suehiro K, Hata T, Yoshitaka H, Tsushima Y, Matsumoto M, Hamanaka S, et al. Late aortic root redissection following surgical treatment for acute type A aortic dissection using gelatin–resorcin–formalin Glue. Jpn J Thorac Cardiovasc Surg. 2002;50:195–200.
Von Oppell UO, Karani Z, Brooks A, Brink J. Dissected aortic sinuses repaired with gelatin–resorcin–formaldehyde (GRF) glue are not stable on follow up. J Heart Valve Dis. 2002;11:249–57.
Imoto K. Recent status of gelatin–resorcin–formalin glue for acute type A aortic dissection. Gen Thorac Cardiovasc Surg. 2011;59:313–4.
Ennker J, Ennker IC, Schoon D, Schoon HA, Dorge S, Meissler M, et al. The impact of gelatin–resorcinol glue on aortic tissue: a histomorphologic evaluation. J Vasc Surg. 1994;20:34–43.
Bachet J, Guilmet D. The use of biological glue in aortic surgery. Cardiol Clin. 1999; 17:779–96, ix–x.
Kunihara T, Iizuka K, Sasaki S, Shiiya N, Sata F, Matsui Y. Optimal proportions of gelatin–resorcin–formalin components in aortic surgery. Eur J Cardiothorac Surg. 2009;36:962–6.
Yamanaka K, Hori Y, Ikarashi J, Kusuhara T, Nakatuska D, Hirose K, et al. Durability of aortic valve preservation with root reconstruction for acute type A aortic dissection. Eur J Cardiothorac Surg. 2012; 41:e32–6.
Concistrè G, Casali G, Santaniello E, Montalto A, Fiorani B, Dell’Aquila A, et al. Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis. Ann Thorac Surg. 2012;93:450–6.
Karck M. The glue crisis in surgery of acute aortic dissection type A is ongoing. Eur J Cardiothorac Surg. 2012;41:e36–7.
Izutani H, Shibukawa T, Kawamoto J, Ishibashi K, Nishikawa D. Devastating late complication for repair of type A acute aortic dissection with usage of gelatin–resorcinol–formalin glue. Interact Cardiovasc Thorac Surg. 2007;6:240–2.
Hata H, Takano H, Matsumiya G, Fukushima N, Kawaguchi N, Sawa Y. Late complications of gelatin–resorcin–formalin glue in the repair of acute type A aortic dissection. Ann Thorac Surg. 2007;83:1621–7.
Séguin JR, Frapier JM, Colson P, Chaptal PA. Fibrin sealant improves surgical results of type A acute aortic dissections. Ann Thorac Surg. 1991;52:745–9.
Séguin JR, Picard E, Frapier JM, Chaptal PA. Aortic valve repair with fibrin glue for type A acute aortic dissection. Ann Thorac Surg. 1994;58:304–7.
Suzuki S, Imoto K, Uchida K, Karube N. The use of fibrin glue and teflon felts for root reconstructions of acute type A aortic dissection. Presented at Aortic surgery symposium X. Apr, 2006
Suzuki S, Imoto K, Uchida K, Kobayashi K, Date K, Gouda M, et al. The usage of Fibrin glue and Teflon felts for root repair in the patients with acute type A aortic dissection. Presented at the 35th annual meeting of Japanese Society for Vascular Surgery, May 2007.
Nakajima T, Kawasoe K, Izumoto H, Kataoka T, Kazui T. Effective use of fibrin glue for acute aortic dissection. Ann Thorac Surg. 2005;79:1793–4.
Nakajima T, Kawazoe K, Kataoka T, Kin H, Kazui T, Okabayashi H, et al. Midterm results of aortic repair using a fabric neomedia and fibrin glue for type A acute aortic dissection. Ann Thorac Surg. 2007;83:1615–20.
Bavaria JE, Pochettino A, Brinster DR, Gorman RC, Wozniak T, Gardner TJ, et al. Prospective randomized study of BioGlue tissue adhesive during repair of acute type A aortic dissection. Presented at the American Association for Thoracic surgery, May 2001
Bavaria JE, Brinster DR, Gorman RC, Woo YJ, Gleason T, Pochettino A. Advances in the treatment of acute type A dissection: an integrated approach. Ann Thorac Surg. 2002;74:s1848–52.
Coselli JS, Bavaria JE, Fehrenbacher J, Stowe CL, Macheer SK, Gundry SR. Prospective randomized study of a protein-based tissue adhesive used as a hemostatic and structural adjunct in cardiac and vascular anastomotic repair procedures. J Am Coll Surg. 2003;197:243–53.
Chao HH, Torchiana DF. BioGlue: albumin/glutaraldehyde sealant in cardiac surgery. J Card Surg. 2003;18:500–3.
Raanani E, Georghiou GP, Kogan A, Wandwi B, Shapira Y, Vidne BA. ‘BioGlue’ for the repair of aortic insufficiency in acute aortic dissection. J Heart Valve Dis. 2004;13:734–7.
Mitrev Z, Belostotskii V, Hristov N. Suture line reinforcement using suction-assisted bioglue application during surgery for acute aortic dissection. Interact Cardiovasc Thorac Surg. 2007;6:147–9.
Zehr KJ. Use of bovine albumin-glutaraldehyde glue in cardiovascular surgery. Ann Thorac Surg. 2007;84:1048–52.
Mejia R, Thomson DS. A new technique for repair of atrioventricular disruption complicating mitral valve replacement. Ann Thorac Surg. 2003;75:1973–4.
Masroor S, Schor J, Carrillo R, Williams DB. Endoventricular pocket repair of type I myocardial rupture after mitral valve replacement: a new technique using pericardial patch, Teflon felt, and BioGlue. Ann Thorac Surg. 2004;77:1439–41.
Dunst KM, Antretter H, Bonatti J. Control of suture hole bleeding after aortic valve replacement by application of BioGlue during circulatory arrest. Int Heart J. 2005;46:175–9.
Leva C, Bruno PG, Gallorini C, Lazzarini I, Musazzi G, Vittonati L, et al. Complete myocardial revascularization and sutureless technique for left ventricular free wall rupture: clinical and echocardiographic results. Interact Cardiovasc Thorac Surg. 2006;5:408–12.
Passage J, Jalali H, Tam RK, Harrocks S, O’Brien MF. BioGlue Surgical Adhesive—an appraisal of its indications in cardiac surgery. Ann Thorac Surg. 2002;74:432–7.
Bhamidipati CM, Coselli JS, Lemaire SA. BioGlue in 2011: what is its role in cardiac surgery? J Extra Corpor Technol. 2012;44:6–12.
Fehrenbacher JW, Siderys H. Use of BioGlue in aortic surgery: proper application techniques and results in 92 patients. Heart Surg Forum. 2006;9:E794–9.
LeMaire SA, Ochoa LN, Conkin LD, Schmittling ZC, Ündar A, Clubb FJ Jr, et al. Nerve and conduction tissue injury caused by contact with BioGlue. J Surg Res. 2007;143:286–93.
LeMaire SA, Schmittling ZC, Coselli JS, Ündar A, Deady BA, Clubb FJ Jr, et al. BioGlue surgical adhesive impairs aortic growth and causes anastomotic strictures. Ann Thorac Surg. 2002;73:1500–6.
Erasmi AW, Sievers HH, Wolschläger C. Inflammatory response after BioGlue application. Ann Thorac Surg. 2002;73:1025–6.
Economopoulos GC, Dimitrakakis GK, Brountzos E, Kelekis DA. Superior vena cava stenosis: a delayed BioGlue complication. J Thorac Cardiovasc Surg. 2004;127:1919–21.
Podila SR, Szafranek A, Rathore AR, Balachandran S, Kulatilake NP. Thoracoscopic removal of pericardial foreign body. Ann Thorac Surg. 2006;82:1915.
Szafranek A, Podalia SR, Al-Khyatt W, Kulatilake EN. Aseptic mediastinal cyst caused by BioGlue 7 months after cardiac surgery. J Thorac Cardiovasc Surg. 2006;131:1202–3.
Cavolli R, Kaya K, Elamis AO. “Acute pseudo-pericardial tamponade”: the compression of the thoracal inferior vena cava- A case report. J Cardiothoracic Surg. 2009;4:9.
Babin-Ebell J, Bougioukakis P, Urbanski P, Forehner S, Diegeler A. Foreign material reaction to BioGlue R as a possible cause of cardiac tamponade. Thorac Cardiovasc Surg. 2010;58:489–91.
Almaeddine A, Alimov VK, Rousou JA, Freeman J. Aorto-pulmonary artery disruption following acute type A aortic dissection repair with the use of BioGlue R. 2012;27:371–3.****
Modi A, Bull R, Tsang G, Karrne M. Ostial left coronary stenosis following aortic root construction with BioGlue. Interact Cardiovasc Thorac Surg. 2011;13:243–5.
Carrell TW, Smith A, Burnand KG. Experimental techniques and models in the study of the development and treatment of abdominal aortic aneurysm. Br J Surg. 1999;86:305–12.
LeMaire SA, Carter SA, Won T, Wang X, Conklin LD, Coselli JS. The threat of adhesive embolization: BioGlue leaks through needle holes in aortic tissue and prosthetic grafts. Ann Thorac Surg. 2005;80:106–11.
Mahmood Z, Cook DS, Luckraz H, O’Keefe P. Fatal right ventricular function caused by BioGlue coronary embolization. J Thorac Cardiovasc Surg. 2004;128:770–1.
Rubio AJ, Sierra QJ, de Martinez AA, Delgado DC. Pulmonary embolism due to biological glue after repair of type A aortic dissection. Interact Cardiovasc Thorac Surg. 2001;12:650–1.
Bernabeu E, Castella M, Barriuso C, Mulet J. Acute limb ischemia due to embolization of biological glue after repair of type A aortic dissection. Interact Cardiovasc Thorac Surg. 2005;4:329–31.
Miller DC, Lansman SL, Cameron DE, Hanafusa Y, Kazui T, Bavaria JE, et al. Discussion: session 3—Dissection. Ann Thorac Surg. 2002;74:s1857–63.
Guerrero MA, Cox M, Lumsden AB, Reardon M, Howell J. Embolus of surgical adhesive to the extremities causing acute ischemia: report to two cases. J Vasc Surg. 2003;40:571–3.
Rampoldi V, Trimarchi S, Eagle KA, Nienaber CA, Oh JK, Bossone E, et al. Simple risk models to predict surgical mortality in acute type A aortic dissection; the International Registry of Acute Aortic Dissection score. Ann Thorac Surg. 2007;83:55–61.
Gallo A, Davies RR, Coe MP, Elefteriades JA, Coady MA. Indications, timing, and prognosis of operative repair of aortic dissections. Semin Thorac Cardiovasc Surg. 2005;17:224–35.
Geirsson A, Bavaria JE, Swarr D, Keane MG, Woo YJ, Szeto WY, et al. Fate of the residual distal and proximal aorta after acute type A dissection repair using a contemporary surgical reconstruction algorithm. Ann Thorac Surg. 2007;84:1955–64.
Estrera AL, Miller CC 3rd, Villa MA, Lee TY, Meada R, Irani A, et al. Proximal reoperations after repaired acute type A aortic dissection. Ann Thorac Surg. 2007;83:1603–9.
Tanaka H, Okada K, Kawanishi Y, Matsumori M, Okita Y. Clinical significance of anastomotic leak in ascending aortic replacement for acute aortic dissection. Interact Cardiovasc Thorac Surg. 2009;9:209–13.
Goda M, Imoto K, Suzuki S, Uchida K, Yanagi H, Yasuda S, et al. Risk analysis for hospital mortality in patients with acute type A aortic dissection. Ann Thorac Surg. 2010;90:1246–50.
Floten HS, Ravichandran PS, Furnary AP, Gately HL, Starr A. Adventitial inversion technique in repair of aortic dissection. Ann Thorac Surg. 1995;59:771–2.
Tanaka K, Morioka K, Li W, Yamada N, Takamori A, Handa M, et al. Adventitial inversion technique without the aid of biologic glue or Teflon buttress for acute type A aortic dissection. Eur J Cardiothorac Surg. 2005;28:864–70.
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Shinichi Suzuki and coauthors have no conflict of interest.
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This review was submitted at the invitation of the editorial committee.
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Suzuki, S., Masuda, M. & Imoto, K. The use of surgical glue in acute type A aortic dissection. Gen Thorac Cardiovasc Surg 62, 207–213 (2014). https://doi.org/10.1007/s11748-013-0343-0
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DOI: https://doi.org/10.1007/s11748-013-0343-0