title: Epicardial Tachosil Patch Repair of Ventricular Rupture in a 90-Year-Old After Mitral Valve Replacement.
abstract: We report our experience with emergent treatment of ventricular rupture following a mitral valve replacement in a 90 year-old male. The repair was performed using a Tachosil patch (Baxter Health Care Corporation, Westlake Village, California), a fibrin sealant coated on an equine collagen sponge, and BioGlue (Cryolife, Kenneson, GA) and bovine pericardium (Edwards Lifesciences, Irvine, CA). Aside from early ventricular dysfunction requiring a low-dose dopamine infusion, this patient's recovery was uneventful. Follow-up echocardiograms demonstrated no gross anatomic abnormality at the repair site, and steady improvement in his ventricular function.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Stamford Hospital, Stamford, Connecticut. Electronic address: wfeng@stamhealth.org.
authors.forename: William
authors.initials: W
authors.lastname: Feng
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Stamford Hospital, Stamford, Connecticut.
authors.forename: Michael
authors.initials: M
authors.lastname: Coady
mesh_terms: D000369:Aged, 80 and over; D001705:Bioprosthesis; D002114:Calcinosis / Q000601:surgery; D002315:Cardiopulmonary Bypass; D004338:Drug Combinations; D017548:Echocardiography, Transesophageal; D005340:Fibrinogen; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000293:injuries; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011506:Proteins; D015503:Surgical Sponges; D013536:Suture Techniques; D013917:Thrombin; D014662:Vasoconstrictor Agents / Q000009:adverse effects
chemical_list: C472676:Bio-glue; D004338:Drug Combinations; D011506:Proteins; C518955:TachoSil; D014662:Vasoconstrictor Agents; D005340:Fibrinogen; D013917:Thrombin