Control of suture hole bleeding after aortic valve replacement by application of BioGlue™ during circulatory arrest

Bleeding from suture holes ill aortic valve replacement (AVR) may represent a difficult problem especially if the aortic wall is friable. We describe a case ill which suture hole bleeding after AVR was present at the posterior aortic wall close to the pulmonary artery. Following several attempts to suture the leak using felt pledget armed prolene sutures. deep hypothermic circulatory arrest was induced and BioGlue (TM) ill combination with Tabotamp (TM) was applied for successful sealing of the bleeding source.