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Ann Thorac Surg 2009;87:1956-1958. doi:10.1016/j.athoracsur.2008.10.042
© 2009 The Society of Thoracic Surgeons
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Aldo Cannata
Corrado Taglieri
Claudio F. Russo
Giuseppe Bruschi
Luigi Martinelli
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Case Reports

Use of CoSeal in a Patient With a Left Ventricular Assist Device

Aldo Cannata, MD*, Corrado Taglieri, MD, Claudio F. Russo, MD, Giuseppe Bruschi, MD, Luigi Martinelli, MD

"Angelo De Gasperis" Department of Cardiac Surgery, Niguarda Ca' Granda Hospital, Milan, Italy

Accepted for publication October 12, 2008.

* Address correspondence to Dr Cannata, "Angelo De Gasperis" Department of Cardiac Surgery, Niguarda Ca' Granda Hospital, Piazza Ospedale Maggiore, 3, Milan, 20162, Italy (Email: aldo.cannata{at}ospedaleniguarda.it).

A 45-year-old man with end-stage idiopathic dilatated cardiomyopathy had previously undergone two left anterolateral thoracotomies for implantation and explantation of a left ventricular epicardial lead for biventricular pacing. Because of worsening heart failure and a predicted long delay to heart transplantation, a left-ventricular assist device was implanted, with application of CoSeal surgical sealant (Baxter Healthcare Corp, Fremont, CA) on the cardiac surface. At re-sternotomy for heart transplantation, surgical dissection of the left-ventricular assist device was greatly facilitated by the presence of avascular, very loose adhesions. CoSeal (Baxter Healthcare Corp) seems to be useful for the inhibition of adhesion formation after left-ventricular assist device implantation, although further clinical experience with this approach is required.






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