Case Reports (Table 1)
Hong Kong: A 60 year, female diagnosed with a Type III Aortic
dissection (AD) and arch aneurysm who underwent total arch replacement
(TAR) with FET using a branched Evita-open-NEO. Patient details are
provided in table 1. There was no significant oozing encountered after
protamine administration. Transfusion was according to
thromboelastometry guided coagulation management (TGCM) with no further
postoperative transfusion was required. She was neurologically intact
and discharged on day 12.
Chennai: A 54-year male was diagnosed to have ascending and
aortic arch aneurysm (5.2cm at zone 1) with Type B AD. Patient details
are provided in table 1. After protamine administration there was
continuous oozing from the polyester segment of the prosthesis. Oozing
was controlled by covering the prosthesis with Surgicel-Fibrillar
(Johnson & Johnson) and pressurized packing with gauze for few minutes.
Blood transfusion and postoperative drain as in table 1. He was
discharged on the 10th postoperative day and follow-up
CT aortogram was done (Figure 1A/B).
Melbourne: An 81 year old male underwent TAR with FET technique
using trifurcate 30/40/180mm E-vita-Open-NEO HP. In addition he received
a Bioprosthetic Bentall’s procedure and coronary artery bypass graft
(Left internal mammary artery and Left Radial). Patient details are
provided in table 1. Blood and products were transfused according to
TGCM. No excessive oozing from the fabric of the graft or any of its
links has been observed, and drain losses were minimal. Postoperative
details elaborated in Table 1. Palliation was instituted as per family
wishes (Figure 1C/D).