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.
Toda
Koichi
K
Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan. ktoda2002@yahoo.co.jp
Yoshitatsu
Masao
M
Izutani
Hironori
H
Ihara
Katsuhiko
K
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