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Eur J Cardiothorac Surg 2001;20:1034
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Complication due to excessive use of Surgicel®

Francesco Patanè, Edoardo Zingarelli, Alessandro Verzini, Michele di Summa

Cardiac Surgery Department, "San Giovanni Battista" Hospital, Corso Bramante 88, Turin, Italy

Received 24 April 2001; received in revised form 21 July 2001; accepted 13 August 2001.

Corresponding author. Tel.: +39-11-6335511; fax: +39-11-6336130
e-mail: f_patane{at}hotmail.com

Key Words: Aortic haematoma • Surgicel® • Pseudoaneurysm

We report a case where non-invasive instrumental diagnostic investigations, thoracic angio-NMR (nuclear magnetic resonance; Fig. 1) and CAT (computerised ascial tomography), were unable to differentiate an accumulation of Surgicel® from an intramural haematoma of the ascending aorta, and thus to avoid surgery.



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  		Fig. 1. Angio-RMN showing the wall thickening, half-moon shaped, of the ascending aorta.

 
Resorption of Surgicel® depends on the quantity used. We recommend removing excessive Surgicel® to facilitate resorption and to avoid tissue reaction (Fig. 2).



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  		Fig. 2. (Left) Strips of Surgicel® before use; (right) fragments of Surgicel® comprising the peri-aortic formation as they appeared after surgical curettage.

 




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