title: Novel hemostatic patch achieves sutureless epicardial wound closure during complex cardiac surgery, a case report.
abstract: Treatment of damaged cardiac tissue in patients with high bleeding tendency can be very challenging, damaged myocardial tissue has a high rupture risk when being sutured subsequently on-going bleeding is a major risk factor for poor clinical outcome. We present a case demonstrating the feasibility in using a novel haemostatic collagen sponge for the management of a myocardial wound. This report is the first description in cardiac surgery where Hemopatch sponges are used to successfully seal a left ventricle wound. Our patient was diagnosed with endocarditis, had a low pre-operative haemoglobin count and underwent cardiac surgery for multiple valve repairs. The procedure was performed on cardiopulmonary bypass, which meant our patient had to be heparinized. Despite these major risk factors for bleeding Hemopatch managed to contain bleeding and seal the wound, no sutures were needed.
authors.affiliation: Department of Anesthesia and Pain Medicine, University Medical Centre Groningen, Groningen, The Netherlands. j.s.jainandunsing@umcg.nl.
authors.forename: Jayant S
authors.initials: JS
authors.lastname: Jainandunsing
authors.affiliation: Department of Cardio-Thoracic Surgery, University of Groningen, Groningen, The Netherlands. s.al-alnsari@umcg.nl.
authors.forename: Sali
authors.initials: S
authors.lastname: Al-Ansari
authors.affiliation: Department of Anesthesia and Pain Medicine, University Medical Centre Groningen, Groningen, The Netherlands. b.d.woltersom@umcg.nl.
authors.forename: Bozena D
authors.initials: BD
authors.lastname: Woltersom
authors.affiliation: Department of Anesthesia and Pain Medicine, University Medical Centre Groningen, Groningen, The Netherlands. t.w.l.scheeren@umcg.nl.
authors.forename: Thomas W L
authors.initials: TW
authors.lastname: Scheeren
authors.affiliation: Department of Cardio-Thoracic Surgery, University of Groningen, Groningen, The Netherlands. e.natour@umcg.nl.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Natour
mesh_terms: D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000517:prevention & control; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery*; D015503:Surgical Sponges; D013536:Suture Techniques