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European Journal of Cardio-Thoracic Surgery, Vol 3, 376-377, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Intravascular air after fibrin sealing by spray gun in cardiovascular surgery

PS Olsen and E Hjelms
Department of Cardiothoracic Surgery RT, Rigshospitalet, Copenhagen, Denmark.

During an operation for an ascending aortic aneurysm with implantation of a saphenous vein graft to the left coronary artery into a prosthesis, we occasionally observed air bubbles in the graft after application of fibrin glue to the anastomosis to control bleeding. In an experimental study in a pig, a vascular prosthesis was anastomosed to the descending aorta. The aorta and the prosthesis were transected and reanastomosed. Air bubbles were collected in a glass flask placed at the end of the prosthesis. Fibrin glue was applied with a spray catheter on all anastomoses at varying distances and with different air pressures. Small amounts of air were collected in the glass flask when an air pressure of 3 or 4 bar was used. This study demonstrates that the use of fibrin glue in cardiovascular surgery can introduce air into the vascular system with subsequent air emboli as a possible side- effect.




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Copyright © 1989 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.