Surgical management of penetrating cardiac injuries using a fibrin glue sheet.

Abstract

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.

• Authors: Koichi Toda, Masao Yoshitatsu, Hironori Izutani, Katsuhiko Ihara
• Journal: Interactive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 6 Issue 4 Pg. 577-8 (Aug 2007) ISSN: 1569-9285 [Electronic] England
• PMID: 17669945 (Publication Type: Case Reports, Journal Article)

Chemical References

• Fibrin Tissue Adhesive

Topics

• Fibrin Tissue Adhesive (therapeutic use)
• Heart Injuries (pathology, surgery)
• Humans
• Male
• Middle Aged
• Wounds, Stab (pathology, surgery)