Foreign material reaction to BioGlue® as a possible cause of cardiac tamponade.
We describe the case of a 65-year-old female patient who underwent aortic valve reconstruction for aortic valve stenosis. During the operation, repair of a left ventricular laceration produced by a left ventricular vent was necessary. BioGlue® (CryoLife, Atlanta, GA, USA) and pledgeted sutures were used for repair. Pericardial effusion with signs of cardiac tamponade developed five months later. The patient was treated successfully by the removal of all foreign material and part of the BioGlue®. Microbiological findings were sterile. Histology showed a chronic granulomatous inflammatory response suggesting a foreign material reaction to BioGlue® as the cause of the effusion. Though all visible material was removed, the risk of pericardial effusion still persists as part of the BioGlue® remained within the ventricular wall.
Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany. joerg.babin-ebell@web.de
J
J
Babin-Ebell
P
P
Bougioukakis
P
P
Urbanski
S
S
Froehner
A
A
Diegeler
D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011506:Proteins / Q000009:adverse effects*; D012086:Reoperation; D014014:Tissue Adhesives / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
C472676:Bio-glue; D011506:Proteins; D014014:Tissue Adhesives