Use of CoSeal in a Patient With a Left Ventricular Assist Device

Aldo Cannata, Corrado Taglieri, Claudio F. Russo, Giuseppe Bruschi, Luigi Martinelli

Research output: Contribution to journalArticlepeer-review

Abstract

A 45-year-old man with end-stage idiopathic dilatated cardiomyopathy had previously undergone two left anterolateral thoracotomies for implantation and explantation of a left ventricular epicardial lead for biventricular pacing. Because of worsening heart failure and a predicted long delay to heart transplantation, a left-ventricular assist device was implanted, with application of CoSeal surgical sealant (Baxter Healthcare Corp, Fremont, CA) on the cardiac surface. At re-sternotomy for heart transplantation, surgical dissection of the left-ventricular assist device was greatly facilitated by the presence of avascular, very loose adhesions. CoSeal (Baxter Healthcare Corp) seems to be useful for the inhibition of adhesion formation after left-ventricular assist device implantation, although further clinical experience with this approach is required.

Original languageEnglish
Pages (from-to)1956-1958
Number of pages3
JournalAnnals of Thoracic Surgery
Volume87
Issue number6
DOIs
Publication statusPublished - Jun 2009

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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