Rajan Venkatesa Kumar Anakaputhur, Kasturi Srikanth, Soundararajan Niranjan, Sinha Priyankar
Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, 258/A, Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, Karnataka 560099 India.
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(4):426-429. doi: 10.1007/s12055-022-01344-z. Epub 2022 Mar 30.
Hemostasis is a crucial step in cardiac surgery which determines postoperative outcomes. Tissue sealants and glues are necessary to achieve hemostasis in situations where conventional methods are unsuccessful. BioGlue, a commonly used topical hemostatic agent, has been reported to cause systemic embolic complications. We report a case of cerebral embolic shower following the use of BioGlue for posterior aortic suture line bleeding in a 49-year-old lady who underwent triple valve surgery. This report brings to light a rare but devastating complication of BioGlue usage in the present era of complex aortic surgeries. We also postulate a mechanism for BioGlue embolization.
止血是心脏手术中的关键步骤，它决定了术后的结果。在传统方法无法成功止血的情况下，组织密封剂和胶水对于实现止血是必要的。生物胶是一种常用的局部止血剂，据报道会引起全身性栓塞并发症。我们报告了一例在一名接受三瓣膜手术的49岁女性中，使用生物胶治疗主动脉后缝合线出血后发生脑栓塞性阵雨的病例。本报告揭示了在当今复杂主动脉手术时代使用生物胶罕见但具有毁灭性的并发症。我们还推测了生物胶栓塞的机制。
