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Surgical management of penetrating cardiac injuries using a fibrin glue sheet

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