Thorac Cardiovasc Surg 2010; 58(8): 489-491
DOI: 10.1055/s-0030-1250148
Case Reports/Cardiac

© Georg Thieme Verlag KG Stuttgart · New York

Foreign Material Reaction to BioGlue® as a Possible Cause of Cardiac Tamponade

J. Babin-Ebell1 , P. Bougioukakis1 , P. Urbanski1 , S. Froehner1 , A. Diegeler1
  • 1Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany
Further Information

Publication History

received May 17, 2010

Publication Date:
25 November 2010 (online)

Abstract

We describe the case of a 65-year-old female patient who underwent aortic valve reconstruction for aortic valve stenosis. During the operation, repair of a left ventricular laceration produced by a left ventricular vent was necessary. BioGlue® (CryoLife, Atlanta, GA, USA) and pledgeted sutures were used for repair. Pericardial effusion with signs of cardiac tamponade developed five months later. The patient was treated successfully by the removal of all foreign material and part of the BioGlue®. Microbiological findings were sterile. Histology showed a chronic granulomatous inflammatory response suggesting a foreign material reaction to BioGlue® as the cause of the effusion. Though all visible material was removed, the risk of pericardial effusion still persists as part of the BioGlue® remained within the ventricular wall.

References

Dr. Jörg Babin-Ebell

Department of Cardiac Surgery
Cardiovascular Center Bad Neustadt

Salzburger Leite 1

97616 Bad Neustadt

Germany

Phone: +49 97 71 66 24 16

Fax: +49 97 71 65 12 19

Email: [email protected]