Critical stenosis of pulmonary homograft induced by Surgicel in Ross procedure

Asian Cardiovasc Thorac Ann. 2010 Aug;18(4):382-3. doi: 10.1177/0218492310375655.

Abstract

Surgicel is bio-absorbable cellulose used to control bleeding. A 52-year-old woman with severe aortic valve regurgitation and aortic dilatation underwent the Ross procedure and ascending aortic replacement. After 48 h, she suffered severe hypotension and hypoxemia. Arteriography revealed stenosis of the pulmonary homograft, which required urgent re-intervention. Extrinsic compression of the posterior wall of the homograft due to Surgicel was found.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm / surgery
  • Aortic Valve Insufficiency / surgery*
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Cardiac Surgical Procedures*
  • Cellulose, Oxidized / adverse effects*
  • Constriction, Pathologic
  • Critical Illness
  • Echocardiography, Transesophageal
  • Female
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology*
  • Graft Occlusion, Vascular / surgery
  • Hemostatic Techniques / adverse effects*
  • Hemostatics / adverse effects*
  • Humans
  • Hypotension / etiology
  • Hypoxia / etiology
  • Middle Aged
  • Polyethylene Terephthalates
  • Prosthesis Design
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / transplantation*
  • Radiography
  • Reoperation
  • Severity of Illness Index
  • Transplantation, Homologous
  • Treatment Outcome

Substances

  • Cellulose, Oxidized
  • Hemostatics
  • Polyethylene Terephthalates
  • Surgicel