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Ann Thorac Surg 1995;59:768-770
© 1995 The Society of Thoracic Surgeons

Articles

Pedicled pericardial fat pad: A useful hemostatic supplement

MD George C. Economopoulos*, MD Peter D. Sfirakis, MD Demetrios A. Zarkalis, MD Louis L. Loukas

Onassis Cardiac Surgery Center, Athens, Greece

Accepted for publication November 10, 1994.

* Address reprint request to Dr Economopoulos, Onassis Cardiac Surgery Center, 356 Sygrou Ave, GR-176 74 Athens, Greece.

Control of bleeding in areas difficult to suture because of tissue friability, edema, or calcification poses a serious problem in cardiac surgery patients. We report the use of a pedicled pericardial fat pad as an adjunct to the control of bleeding in these difficult-to-suture areas. This technique was used in 9 patients who were bleeding from different areas (the atria, coronary sinus, aorta, and myocardium), and the bleeding was completely and easily controlled. We consider the pedicled pericardial fat pad to be a useful supplement when suturing alone cannot effectively bring the bleeding under control.




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