A 43-year-old woman with critical stenosis of the left main stem was managed with saphenous vein angioplasty using BioGlue. She developed severe myocardial ischemia postoperatively, probably due to external compression exerted on the patch by the adhesive material, and required emergency coronary artery bypass grafting.
Get full access to this article
View all access options for this article.
References
1.
HitchcockJFde MedinaRobles EOJambroesG. Angioplasty of the left main coronary artery for isolated left main coronary artery disease. J Thorac Cardiovasc Surg1983;85:880–4.
2.
DionRVerhelstRSchoevaerdtsJCColJRennotteMTChalantCH. Surgical plasty of the left main coronary artery. Ann Chir1989;43:85–9.
3.
CoselliJSBavariaJEFehrenbacherJStoweCLMacheersSKGundrySR. Prospective randomized study of a protein-based tissue adhesive used as a hemostatic and structural adjunct in cardiac and vascular anastomotic repair procedures. J Am Coll Surg2003;197:243–53.
4.
HewittCWMarraSWKannBRTranHSPucMMChrzanowskiFAJr. BioGlue surgical adhesive for thoracic aortic repair during coagulopathy: Efficacy and histopathology. Ann Thorac Surg2001;71:1609–12.
5.
Van NootenGVan BelleghemYFoubertLFrancoisKCaesFVan OverbekeH. An experimental model of coronary anastomosis without suturing. Cardiovasc Surg2003;11:80–4
6.
KirschMGinatMLecerfLHouelRLoisanceD. Aortic wall alterations after use of gelatin-resorcinol-formalin glue. Ann Thorac Surg2002;73:642–4.
7.
LeMaireSASchmittlingZCCoselliJSUndarADeadyBAClubbFJJr. BioGlue surgical adhesive impairs aortic growth and causes anastomotic strictures. Ann Thorac Surg2002;73:1500–6.
8.
EconomopoulosGCDimitrakakisGKBrountzosEKelekisDA. Superior vena cava stenosis: A delayed BioGlue complication. J Thorac Cardiovasc Surg2004;127:1819–21.
