[HSF] Aortic purse strings in thin large aortas.

[Salerno, Tomas]

I cannulate the aorta in most cases, and when the aorta is thin, like described, after tying the pursestring, that is made up of pledgeted prolenes (either teflon or pericardium), and then cut a small piece of pericardium and cover the whole cannulation site by taking small bites on the visceral pericardium with a 60 prolene. I seldom leave an unprotected closure of the cannulation site, as it avoids blow outs, and also formation of false aneurysm. 

 

Tomas

 

When we have a large thin aorta we don't pursestrig it. we cannulate the
axillary or femoral artery. Large and thin aortas are like wives, no matter
you do, it will be wrong.

----- Original Message -----
From: "sekhar le" <sekharle2006 at hotmail.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Saturday, December 02, 2006 4:27 PM
Subject: [HSF] Aortic purse strings in thin large aortas.


> 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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