Fibrin Sealant Patch to Treat Dialysis-Associated Hemorrhagic Pericarditis

Susumu Isoda¹, Tamizo Kimura², Katsunori Tanaka², Kenji Nishimura², Nozomu Yamanaka², Shin-ichi Taguchi², Norihisa Karube¹, Keiji Uchida¹, Kiyotaka Imoto¹

¹Department of Cardiovascular Surgery, Yokohama City University Medical Center, Yokohama, Japan.
²Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Japan.

DOI: 10.4236/ojts.2015.51001                

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.

Keywords

Fibrin Sealant Patch, Hemodialysis, Hemorrhage, Pericarditis

Conflicts of Interest

The authors declare no conflicts of interest.

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