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The Annals of Thoracic Surgery, Vol 52, 874-876, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Dacron mesh wrapping to support the aneurysmally dilated or friable ascending aorta

E Milgalter and H Laks
Division of Cardiothoracic Surgery, University of California, Los Angeles, Medical Center 90024-1741.

A technique of supporting the aneurysmally dilated or friable ascending aorta using a fine Dacron mesh is described. In patients with aneurysmal dilatation of the ascending aorta, longitudinal resection of a portion of the aneurysm combined with wrapping can avoid replacement with a synthetic graft. The Dacron mesh, because of its transparency and ability to stretch, allows a more accurate fit over the aorta, avoids hematoma formation, provides visualization of suture lines after wrapping, and facilitates proximal vein graft anastomoses for combined aortocoronary bypass.

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