IMAGES IN CARDIO THORACIC SURGERY

European Journal of Cardio-Thoracic Surgery 48 (2015) 633 doi:10.1093/ejcts/ezv002 Advance Access publication 7 February 2015

Cite this article as: Furukawa H, Masaki H, Tanemoto K. Late limb embolization of biological glue after repair of aortic dissection. Eur J Cardiothorac Surg 2015;48:633.

Late limb embolization of biological glue after repair of aortic dissection Hiroshi Furukawa*, Hisao Masaki and Kazuo Tanemoto Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan * Corresponding author. Department of Cardiovascular Surgery, Kawasaki Medical School, 577 Matsushima Kurashiki-city, Okayama, 701-0192, Japan. Tel: +81-86-4621111; fax: +81-86-4641189; e-mail: [email protected] (H. Furukawa). Received 5 October 2014; received in revised form 8 December 2014; accepted 19 December 2014

Keywords: Limb embolization • Biological glue • Aortic dissection

the right-sided distal popliteal artery to the anterior tibial artery and the tibial–peroneal trunk (Fig. 1). A small particle extracted by limb thrombectomy was identified as BioGlue® (Fig. 2).

Figure 1: Multidetector computed tomography showed the right-sided limb artery occlusion from the distal popliteal artery to the anterior tibial artery and the tibial–peroneal trunk.

Figure 2: BioGlue® fragments extracted by right-sided lower limb arterial thrombectomy.

IMAGES IN CARDIO THORACIC SURGERY

A 16-year old Marfan syndrome patient developed right-sided limb pain 45 days after the emergency repair of type A acute aortic dissection. Computed tomography revealed occlusion of

© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Late limb embolization of biological glue after repair of aortic dissection.

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