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Interact CardioVasc Thorac Surg 2007;6:577-578. doi:10.1510/icvts.2007.156372
© 2007 European Association of Cardio-Thoracic Surgery
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Koichi Toda
Hironori Izutani
Katsuhiko Ihara
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Case report - Cardiac general

Surgical management of penetrating cardiac injuries using a fibrin glue sheet

Koichi Toda*, Masao Yoshitatsu, Hironori Izutani and Katsuhiko Ihara

Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan

*Corresponding author. Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, Sakai, Osaka, Japan. Tel.: +81-72-252-3561; fax: +81-72-255-3349.

E-mail address: ktoda2002{at}yahoo.co.jp (K. Toda).

A penetrating cardiac injury is among the most lethal of all injuries. We present a case of penetrating cardiac injuries to both ventricles. A laceration on the right ventricle was repaired using buttressed sutures, while an injury to the left ventricle was repaired using a collagen mesh dressing covered by fibrin glue (TachoComb patch) without employing cardiopulmonary bypass. The patient recovered uneventfully without a ventricular pseudoaneurysm. Our results demonstrate the usefulness of a TachoComb patch for penetrating cardiac injuries occurring adjacent to the large coronary artery in the posterior wall of the heart.

Key Words: Penetrating cardiac injury; Biologic glue; Pneumopericardium




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M. Celiento, G. Scioti, S. Pratali, and U. Bortolotti
Repair of coronary artery perforation following angioplasty using TachoSil(R) patches
Interactive CardioVascular and Thoracic Surgery, February 1, 2010; 10(2): 328 - 330.
[Abstract] [Full Text] [PDF]


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