Abstract
Background.
Dacron prostheses in humans have been documented to present long-term fiber alterations, that may account for late graft dilatation. Late dilatation has been documented mainly in knitted prostheses, implanted in the abdominal and thoracic aorta. Dilatation of the collagen-impregnated Hemashield Woven® prosthesis has not been studied prospectively in the thoracic aorta.
Methods.
Twenty patients were prospectively included. The intraoperative performance of the graft and mid-term clinical behaviour were studied. The graft distensibility was evaluated by postoperative, 1 and 3 yr computed tomographic diameter follow-up.
Results.
There were no hospital deaths. Two graft-unrelated deaths occurred at 3 yr. The graft performance was excellent or good for most aspects. No significant changes in CT diameter occurred throughout the 3 yr follow-up.
Conclusion.
The collagen-impregnated Hemashield Woven® prosthesis is considered safe in replacements of the thoracic aorta. Future evaluation should focus on the very long-term behaviour in young adults.
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