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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 12/2018

01-12-2018 | How to Do It

Off-pump hemostasis for left ventricular rupture after myocardial infarction with Hydrofit® and Surgicel®

Authors: Hikaru Ishii, Hidehito Endo, Hiroshi Tsuchiya, Yusuke Inaba, Katsunari Terakawa, Hiroshi Kubota

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2018

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Abstract

Left ventricular free wall rupture (LVFWR) is a catastrophic complication of myocardial infarction. In these cases, cardiopulmonary bypass (CPB) should be performed for left ventricular repair, but can impact hemodynamic stability. An 87-year-old man presented with acute shock. He was diagnosed with LVFWR after myocardial infarction. We describe a simple, effective, and reproducible technique to achieve hemostasis at the LVFWR site during emergency operation using Hydrofit® and Surgicel® surgical hemostatic agents. We simply placed and manually pressed the Hydrofit® and Surgicel® composite on the bleeding site. This technique provides complete hemostasis without CPB establishment.
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Literature
1.
Güney G, Kaya C, Oto G, Yıldırım S, Özdemir H, Tokmak A. Effects of quercetin and surgicel for preventing adhesions after gynecological surgery: a rat uterine horn model. J Obstet Gynaecol Res. 2017;43:179–84.CrossRef
2.
Eto M, Morita S, Sugiura M, Yoshimura T, Tominaga R, Matsuda T. Elastomeric surgical sealant for hemostasis of cardiovascular anastomosis under full heparinization. Eur J Cardiothorac Surg. 2007;32:730–4.CrossRef
Metadata
Title
Off-pump hemostasis for left ventricular rupture after myocardial infarction with Hydrofit® and Surgicel®
Authors
Hikaru Ishii
Hidehito Endo
Hiroshi Tsuchiya
Yusuke Inaba
Katsunari Terakawa
Hiroshi Kubota
Publication date
01-12-2018
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 12/2018
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-0928-8

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