Administration of intrapericardial tissue adhesive after cardiac rupture and cardiac tamponade

• Published in: International journal of cardiology Vol. 147; no. 3; pp. e50 - e52
• Main Authors: Ruiz-Bailén, Manuel, Rucabado-Aguilar, Luis, Galindo-Rodríguez, Silvia, Castillo-Rivera, Ana, Brea Salvago, Francisco, Pola Gallego de Guzmán, María Dolores, Ramos Cuadra, José Ángel
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ireland Ltd 17.03.2011
• Subjects: Aged; Aged, 80 and over; Cardiac Tamponade - drug therapy; Cardiac Tamponade - etiology; Cardiovascular; Echocardiography; Female; Follow-Up Studies; Heart rupture; Heart Rupture - complications; Heart Rupture - drug therapy; Humans; Intrapericardial tissue adhesive; Male; Pericardium - drug effects; Pericardium - pathology; Tamponade; Tissue Adhesives - administration & dosage; Echocardiography; Intrapericardial tissue adhesive; Heart rupture; Tamponade
• ISSN: 0167-5273; 1874-1754
• DOI: 10.1016/j.ijcard.2009.01.025

Abstract Objective To describe a series of patients treated with intrapericardial glue. Design Case reports. Descriptive study. Patients We describe the results obtained using the injection of a surgical intrapericardial adhesive in 19 patients who presented cardiac tamponade and shock after cardiac rupture. The technique was done using puncture and echocardiographic subxiphoid control. At the one-year follow-up, 5 patients had survived, with neither pseudoaneurysms nor constriction. One patient was injected with said adhesive in the right ventricular cavity. Conclusions Pericardial drainage, followed by the administration of intrapericardial glue may be an attractive technique. This technique should be studied for its possible utility when faced with surgical impossibility.