A Novel Chest Packing Technique for Intractable Bleeding After Open Heart Surgical Procedures

A Novel Chest Packing Technique for Intractable Bleeding After Open Heart Surgical Procedures

Intractable bleeding after cardiac surgical procedures is a life-threatening complication. In most cases, the main bleeding site is present in the retrosternal space, not the pericardial space. Packing the chest may be a useful technique for achieving hemostasis. Herein, we describe a novel and effe...

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Veröffentlicht in:The Annals of thoracic surgery 2013-09, Vol.96 (3), p.1099-1101
Hauptverfasser: Matsushita, Tsutomu, MD, Masuda, Shinsuke, MD, Hayashida, Kyoko, MD, Usui, Kimihito, MD
Format: Artikel
Sprache:eng
Schlagworte:
Cardiothoracic Surgery
Cellulose, Oxidized - pharmacology
Cerebral Infarction - physiopathology
Combined Modality Therapy
Fatal Outcome
Heart Failure - diagnosis
Heart Failure - surgery
Heart-Assist Devices
Hemostasis, Surgical - methods
Hemostatic Techniques
Humans
Male
Middle Aged
Postoperative Complications - physiopathology
Postoperative Hemorrhage - diagnosis
Postoperative Hemorrhage - therapy
Reoperation - methods
Sternotomy - adverse effects
Sternotomy - methods
Surgery
Tampons, Surgical
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Zusammenfassung:Intractable bleeding after cardiac surgical procedures is a life-threatening complication. In most cases, the main bleeding site is present in the retrosternal space, not the pericardial space. Packing the chest may be a useful technique for achieving hemostasis. Herein, we describe a novel and effective procedure for the treatment of intractable bleeding in the retrosternal space using a sheet of oxidized regenerated cellulose and sponges after cardiac surgical procedures.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.04.088