[HSF] Aortic purse strings in thin large aortas.

[sekhar le]

We use 5/0 prolene for all aortic purse strings. We use   finer sutures with 
the idea that needle holes of bigger sutures cause more bleeding   before   
they are not tied.
we do not use pledgets  with the idea that when there is bleeding the 
pledgets obscure the  exact source of bleeding.

With this approach we do not have problems in   normal sized aortas but we 
do have occasional problems in thin large aortas.

I would like to know what others use for large thin aortas.


Dr Sekhar

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