Aortic Aneurysm Repair

Question 1

Aortic Aneurysm Repair Steps

Answer 1

• Sternum Dissection
• Sharp Dissection of Adhesions in Redo
• Intraoperative injury/lacerated vessels/tissues
• Vascular Anastomosis w/ Synthetic Grafts
• Vascular Anastomosis around friable
  Tissues

Question 2

Sternum Dissection

Answer 2

Bleeding from cut sternal edges

FloSeal, Ostene

Question 3

Sharp Dissection of adhesions in redo

Answer 3

Bleeding from adhesiolysis epicardial bleeds

Tisseel

Question 4

Intraoperative injury/lacerated vessels/tissues

Answer 4

Difficult to reach bleeds on left ventricular Apex

FloSeal, Recothrom

Question 5

Vascular anastomosis with synthetic grafts

Answer 5

Active bleeding - FloSeal

Potential suture hole bleeding - Coseal, Preveleak

Question 6

Vascular anastomosis around friable tissue

Answer 6

Bleeding from friable tissue as difficult to suture - Preveleak