Document Detail


Aortic tube grafts wrapping with hemostatic fleeces reduces postoperative pericardial effusions.
MedLine Citation:
PMID:  18446127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pericardial effusions often complicate the postoperative course of ascending aortic surgery. We evaluated whether an unconventional use of hemostatic fleeces (TachoSil, Nycomed; Austria), wrapped around aortic tube grafts, may reduce such complication. Twenty-nine consecutive patients undergoing button-Bentall were submitted - according to surgeon's choice - to 360 degrees wrapping of the aortic grafts with hemostatic fleeces immediately before sternal wiring (11 patients - group A) or sternal wiring without any wrapping of the prosthesis (18 patients - group B). Hospital outcome was recorded. No differences were recorded in hospital mortality and major organ morbidity. When pericardial complications were considered, group A showed lower chest drains (P=0.0001), time of chest drainage (P=0.002), pretamponade/tamponade with need for pericardiocentesis (P=0.039), predischarge echocardiographic amount of pericardial effusion (P=0.026), fever (P=0.029), need for anti-inflammatory (P=0.05) or antibiotic drugs (P=0.007), hospital stay (P=0.010) and white blood cell count (P=0.016 on postoperative day 3; P=0.014 on day 6). Wrapping of aortic tube grafts with hemostatic fleeces is effective in reducing pericardial effusion and its deleterious effects following aortic surgery.
Authors:
F Onorati; E Pasceri; C Scalas; G Santarpino; P Mastroroberto; C Indolfi; A Renzulli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  49     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-04-30     Completed Date:  2008-08-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  393-7     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Unit, Magna Graecia University, Catanzaro, Italy. frankono@libero.it
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MeSH Terms
Descriptor/Qualifier:
Aortic Diseases / surgery*,  ultrasonography
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / methods
Drug Combinations
Female
Fibrinogen*
Hemostasis, Surgical / instrumentation*
Humans
Male
Pericardial Effusion / prevention & control*,  ultrasonography
Postoperative Complications / prevention & control*,  ultrasonography
Thrombin*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Drug Combinations; 0/TachoSil; 9001-32-5/Fibrinogen; EC 3.4.21.5/Thrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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