| Aortic tube grafts wrapping with hemostatic fleeces reduces postoperative pericardial effusions. | |
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MedLine Citation:
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PMID: 18446127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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F Onorati; E Pasceri; C Scalas; G Santarpino; P Mastroroberto; C Indolfi; A Renzulli |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 49 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-04-30 Completed Date: 2008-08-26 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: Italy |
Other Details:
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Languages: eng Pagination: 393-7 Citation Subset: IM |
Affiliation:
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Cardiac Surgery Unit, Magna Graecia University, Catanzaro, Italy. frankono@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Diseases
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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:
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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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