title: Control of suture hole bleeding after aortic valve replacement by application of BioGlue during circulatory arrest.
abstract: Bleeding from suture holes in aortic valve replacement (AVR) may represent a difficult problem especially if the aortic wall is friable. We describe a case in 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 in combination with Tabotamp was applied for successful sealing of the bleeding source.
authors.affiliation: Clinical Department of Cardiac Surgery, Medical University Innsbruck, Innsbruck, Austria.
authors.forename: Karin M
authors.initials: KM
authors.lastname: Dunst
authors.forename: Herwig
authors.initials: H
authors.lastname: Antretter
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
mesh_terms: D001021:Aortic Valve; D005260:Female; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D011506:Proteins; D013537:Sutures
chemical_list: C472676:Bio-glue; D011506:Proteins