TITLE:
Fibrin Sealant Patch to Treat Dialysis-Associated Hemorrhagic Pericarditis
AUTHORS:
Susumu Isoda, Tamizo Kimura, Katsunori Tanaka, Kenji Nishimura, Nozomu Yamanaka, Shin-ichi Taguchi, Norihisa Karube, Keiji Uchida, Kiyotaka Imoto
KEYWORDS:
Fibrin Sealant Patch, Hemodialysis, Hemorrhage, Pericarditis
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.5 No.1,
February
28,
2015
ABSTRACT: A 73-year-old male patient with a 3-year history of hemodialysis was admitted for the treatment of pericardial effusion. Echocardiography suggested a diagnosis of effusive pericarditis. Pericardiocentesis was performed several times. Six weeks after the admission, the patient developed cardiac tamponade. Surgical pericardiotomy showed the epicardium had a diffuse shaggy and hemorrhagic surface. To control diffuse oozing, fibrin sealant patches (Tachosil; CSL Behring, Tokyo, Japan) were attached to the epicardium. Oozing was then controlled.