title: Use of CoSeal in a patient with a left ventricular assist device.
abstract: A 45-year-old man with end-stage idiopathic dilatated cardiomyopathy had previously undergone two left anterolateral thoracotomies for implantation and explantation of a left ventricular epicardial lead for biventricular pacing. Because of worsening heart failure and a predicted long delay to heart transplantation, a left-ventricular assist device was implanted, with application of CoSeal surgical sealant (Baxter Healthcare Corp, Fremont, CA) on the cardiac surface. At re-sternotomy for heart transplantation, surgical dissection of the left-ventricular assist device was greatly facilitated by the presence of avascular, very loose adhesions. CoSeal (Baxter Healthcare Corp) seems to be useful for the inhibition of adhesion formation after left-ventricular assist device implantation, although further clinical experience with this approach is required.
authors.affiliation: Angelo De Gasperis Department of Cardiac Surgery, Niguarda Ca' Granda Hospital, Milan, Italy. aldo.cannata@ospedaleniguarda.it
authors.forename: Aldo
authors.initials: A
authors.lastname: Cannata
authors.forename: Corrado
authors.initials: C
authors.lastname: Taglieri
authors.forename: Claudio F
authors.initials: CF
authors.lastname: Russo
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bruschi
authors.forename: Luigi
authors.initials: L
authors.lastname: Martinelli
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011092:Polyethylene Glycols
chemical_list: C513322:CoSeal; D011092:Polyethylene Glycols