Could the Material Wrapped Around the Heart Prevent Adhesion? A Case Report

Abstract

Adhesions around the heart might enhance the difficulty in performing the second heart surgery. These fibrin adhesions between epicardium and pericardium increase not only the cost, but also bleeding, duration of surgery and poor clinical outcomes. A patient, who had undergone mitral commissurotomy with the assistance of heart-lung machine (CPB) in 1998 and in whom a material that was considered to reduce adhesion had been wrapped around the heart, underwent cardiac re-surgery in 2014. No detailed information could be obtained about film barrier performed during the first surgery from the center where the surgery was performed. In our clinic, we observed the effect of the material wrapped around the heart during mitral valve replacement on adhesion.




J Med Cases. 2015;6(10):474-476
doi: http://dx.doi.org/10.14740/jmc2292w