A case of progressive right coronary ostial stenosis after Carrel patch method using gelatin-resorcin-formalin glue
Kiyama, H.; Ohshima, N.; Sakurada, M.; Kagawa, N.; Imazeki, T.; Yamada, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 51(2): 102-105
1998
ISSN/ISBN: 0021-5252 PMID: 9492456 Document Number: 486327
A 31-year-old man with type A chronic aortic dissection associated with annuloaortic ectasia underwent the concomitant graft replacement of the total aortic root and the transverse aortic arch. The two coronary arteries were reconstructed using the Carrel patch method. The false lumen of right coronary artery was closed by injection of GRF glue into the dissected space and compressing the dissected layers. Postoperative course was uneventful, and the patient has returned to normal daily life 2 months after surgery. Remarkable progression of the right coronary artery ostial stenosis was observed by coronary angiography 6 months after surgery. The remarkable progression of stenosis may occur in association with injection of GRF glue into the dissected space, although the exact etiology of the progressive stenosis remains obscure.