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J Thorac Cardiovasc Surg 2002;124:1247
© 2002 The American Association for Thoracic Surgery


Brief Communications

Fibrin glue instillation for profuse sternal bleeding

Miralem Pasic, MD, PhD, Roland Hetzer, MD, PhD Berlin, Germany

From Deutsches Herzzentrum Berlin, Berlin, Germany.

Received for publication March 15, 2002. Accepted for publication April 18, 2002. Address for reprints: Professor Miralem Pasic, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, D-13353 Berlin, Germany (E-mail: pasic@dhzb.de).

The first 20% of the full text of this article appears below.

Bleeding from the edges of the sternotomy usually ceases spontaneously or after adequate application of bone wax, alone or in combination with focal application of thermal cautery to the spongiosa. In some instances, however, the excessive bleeding may persist despite all these measures. We describe a simple method to achieve the prompt cessation of sternal bleeding by simple instillation of fibrin glue into the sternal spongiosa.

Technique

In a patient with . . . [Full Text of this Article]




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