Results of aortic anastomoses made under tension using polydioxanone suture

Randy Haluck, Wayne E. Richenbacher, John Myers, Cynthia A. Miller, Arthur B. Abt, John A. Waldhausen

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

After early repair of congenital cardiovascular defects, such as coarctation of the aorta, late stenosis may become a problem. Use of absorbable sutures has been shown to be superior to use of nonabsorbable sutures in allowing growth of an anastomotic site along with the individual. Some concern has been raised, however, about the potential for aneurysm formation at the site of anastomosis when absorbable sutures are used. This study was undertaken to observe the effects of longitudinal tension on anastomoses made with absorbable polydioxanone suture in growing animals. Six piglets (aged 3 to 4 weeks) underwent a 1-cm resection of the infrarenal aorta and reanastomosis with polydioxanone suture. One animal died prematurely of respiratory illness. The 5 remaining animals were killed after 6 months. The excised aortas demonstrated no stenosis, no dilatation, and no bursttest failure to 250 mm Hg. Histological examination showed disrupted elastic laminae without thinning of aortic wall in all samples of aorta. We conclude that polydioxanone suture is a suitable suture material for vascular anastomoses made under tension where growth of the anastomotic site is expected.

Original languageEnglish (US)
Pages (from-to)392-395
Number of pages4
JournalThe Annals of thoracic surgery
Volume50
Issue number3
DOIs
StatePublished - Jan 1 1990

Fingerprint

Polydioxanone
Sutures
Aorta
Pathologic Constriction
Aortic Coarctation
Growth
Aneurysm
Blood Vessels
Dilatation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Haluck, Randy ; Richenbacher, Wayne E. ; Myers, John ; Miller, Cynthia A. ; Abt, Arthur B. ; Waldhausen, John A. / Results of aortic anastomoses made under tension using polydioxanone suture. In: The Annals of thoracic surgery. 1990 ; Vol. 50, No. 3. pp. 392-395.
@article{f32639dab48d4590b6fc964f64e06542,
title = "Results of aortic anastomoses made under tension using polydioxanone suture",
abstract = "After early repair of congenital cardiovascular defects, such as coarctation of the aorta, late stenosis may become a problem. Use of absorbable sutures has been shown to be superior to use of nonabsorbable sutures in allowing growth of an anastomotic site along with the individual. Some concern has been raised, however, about the potential for aneurysm formation at the site of anastomosis when absorbable sutures are used. This study was undertaken to observe the effects of longitudinal tension on anastomoses made with absorbable polydioxanone suture in growing animals. Six piglets (aged 3 to 4 weeks) underwent a 1-cm resection of the infrarenal aorta and reanastomosis with polydioxanone suture. One animal died prematurely of respiratory illness. The 5 remaining animals were killed after 6 months. The excised aortas demonstrated no stenosis, no dilatation, and no bursttest failure to 250 mm Hg. Histological examination showed disrupted elastic laminae without thinning of aortic wall in all samples of aorta. We conclude that polydioxanone suture is a suitable suture material for vascular anastomoses made under tension where growth of the anastomotic site is expected.",
author = "Randy Haluck and Richenbacher, {Wayne E.} and John Myers and Miller, {Cynthia A.} and Abt, {Arthur B.} and Waldhausen, {John A.}",
year = "1990",
month = "1",
day = "1",
doi = "10.1016/0003-4975(90)90481-K",
language = "English (US)",
volume = "50",
pages = "392--395",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "3",

}

Results of aortic anastomoses made under tension using polydioxanone suture. / Haluck, Randy; Richenbacher, Wayne E.; Myers, John; Miller, Cynthia A.; Abt, Arthur B.; Waldhausen, John A.

In: The Annals of thoracic surgery, Vol. 50, No. 3, 01.01.1990, p. 392-395.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Results of aortic anastomoses made under tension using polydioxanone suture

AU - Haluck, Randy

AU - Richenbacher, Wayne E.

AU - Myers, John

AU - Miller, Cynthia A.

AU - Abt, Arthur B.

AU - Waldhausen, John A.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - After early repair of congenital cardiovascular defects, such as coarctation of the aorta, late stenosis may become a problem. Use of absorbable sutures has been shown to be superior to use of nonabsorbable sutures in allowing growth of an anastomotic site along with the individual. Some concern has been raised, however, about the potential for aneurysm formation at the site of anastomosis when absorbable sutures are used. This study was undertaken to observe the effects of longitudinal tension on anastomoses made with absorbable polydioxanone suture in growing animals. Six piglets (aged 3 to 4 weeks) underwent a 1-cm resection of the infrarenal aorta and reanastomosis with polydioxanone suture. One animal died prematurely of respiratory illness. The 5 remaining animals were killed after 6 months. The excised aortas demonstrated no stenosis, no dilatation, and no bursttest failure to 250 mm Hg. Histological examination showed disrupted elastic laminae without thinning of aortic wall in all samples of aorta. We conclude that polydioxanone suture is a suitable suture material for vascular anastomoses made under tension where growth of the anastomotic site is expected.

AB - After early repair of congenital cardiovascular defects, such as coarctation of the aorta, late stenosis may become a problem. Use of absorbable sutures has been shown to be superior to use of nonabsorbable sutures in allowing growth of an anastomotic site along with the individual. Some concern has been raised, however, about the potential for aneurysm formation at the site of anastomosis when absorbable sutures are used. This study was undertaken to observe the effects of longitudinal tension on anastomoses made with absorbable polydioxanone suture in growing animals. Six piglets (aged 3 to 4 weeks) underwent a 1-cm resection of the infrarenal aorta and reanastomosis with polydioxanone suture. One animal died prematurely of respiratory illness. The 5 remaining animals were killed after 6 months. The excised aortas demonstrated no stenosis, no dilatation, and no bursttest failure to 250 mm Hg. Histological examination showed disrupted elastic laminae without thinning of aortic wall in all samples of aorta. We conclude that polydioxanone suture is a suitable suture material for vascular anastomoses made under tension where growth of the anastomotic site is expected.

UR - http://www.scopus.com/inward/record.url?scp=0025047778&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025047778&partnerID=8YFLogxK

U2 - 10.1016/0003-4975(90)90481-K

DO - 10.1016/0003-4975(90)90481-K

M3 - Article

C2 - 2119165

AN - SCOPUS:0025047778

VL - 50

SP - 392

EP - 395

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 3

ER -