Between january 2000 and march 2019, 26 patients underwent reoperative valve-sparing aortic root reconstruction using the reimplantation technique.Given the study was retrospective and nonrandomized, the initial operations were performed in several institutions by different aortic surgeons.¿because not all patients were operated on initially in our institution, the proximal anastomoses were carried out by various techniques.Moreover, surgical glue use and stump plasty for reinforcement of proximal anastomosis were different in each case.¿ when bioglue was used in the initial operation ¿inflammatory changes and crystals of the residual glue were found in the tunica medica.In this patient series, bioglue induced partial lacerations in the tunica media, and a foreign-body reaction remained in 5 patients¿.The number of patients that developed a pseudoaneurysm was not given in the publication, they state: ¿our case suggested that the risk of pseudoaneurysm at the site of the proximal anastomosis even if bioglue was used¿.
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