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

How To Do It

Pedicled Pericardial Fat Pad: A Useful Hemostatic Supplement

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

Onassis Cardiac Surgery Center, Athens, Greece

Accepted for publication November 10, 1994.

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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Invited Commentary
Thomas J. Vander Salm
Ann. Thorac. Surg. 1995 59: 770. [Extract] [Full Text]



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[Full Text]


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