Surgical management of penetrating cardiac injuries using a fibrin glue sheet.
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.
Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan. ktoda2002@yahoo.co.jp
Koichi
K
Toda
Masao
M
Yoshitatsu
Hironori
H
Izutani
Katsuhiko
K
Ihara
D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006335:Heart Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014951:Wounds, Stab / Q000473:pathology / Q000601:surgery*
D015718:Fibrin Tissue Adhesive