Superior vena cava syndrome caused by a swollen absorbable haemostat after repair of ischaemic mitral regurgitation

Journal of Cardiothoracic Surgery

Reiko Kemmochi¹  Yoji Kubo¹  Mitsuaki Matsumoto¹  Koki Eto¹ 

[1] Department of Cardiovascular Surgery, Cardiovascular Center, Tsuyama Chuo Hospital, 1756, Kawasaki, Tsuyama City, Okayama 708-0841, Japan

关键词: Cardiovascular surgery;    External compression;    Haematoma;    SVC syndrome;    Surgicel;   

Others  :  812159
DOI  :  10.1186/1749-8090-9-1

 received in 2013-07-10, accepted in 2013-12-26,  发布年份 2014

【 摘 要 】

Surgicel, an absorbable haemostat, is widely used in cardiovascular surgery. An 81-year-old woman, who was diagnosed with ischaemic mitral regurgitation, underwent mitral valve plasty and coronary artery bypass grafting. On postoperative day two, her superior vena cava (SVC) pressure gradually rose to 38 mmHg and she developed low output syndrome. Emergent surgery revealed that the cause of SVC syndrome was external compression from a haematoma at the posterior surface of the SVC, which formed around the Surgicel.

【 授权许可】

   
2014 Eto et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Dogan S, Kocaeli H, Doygun M: Oxidized regenerated cellulose as a cause of paraplegia after thoracotomy: case report and review of the literature. Spinal Cord 2005, 43:445-447.
• [2]Boeris D, Evins AI, Lanotte MM, Zeme S, Ducati A: Pontine compression caused by “surgiceloma” after trigeminal decompression: case report and literature review. Acta Neurol Belg 2013. May 1 [Epub ahead of print]
• [3]Patanè F, Zingarelli E, Verzini A, di Summa M: Complication due to excessive use of Surgicel. Eur J Cardiothorac Surg 2001, 20:1034.
• [4]Teis A, Cámara ML, Ferrer E, Romero-Ferrer B: Critical stenosis of pulmonary homograft induced by Surgicel in Ross procedure. Asian Cardiovasc Thorac Ann 2010, 18:382-383.
• [5]Ibrahim MF, Aps C, Young CP: A foreign body reaction to Surgicel mimicking an abscess following cardiac surgery. Eur J Cardiothorac Surg 2002, 22:489-490.