1994
DOI: 10.1016/s0022-5223(94)70458-9
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Surgical treatment of multiple ventricular septal defects using a biologic glue

Abstract: The closure of multiple ventricular septal defects remains a surgical challenge. Mortality and morbidity are high. Left ventricular incision and multiple patches or stitches impair septal motion and function. We searched for a method that would cause minimal left ventricular and septal dysfunction. The use of fibrin seal for closing ventricular septal defects was considered. The method was first tested in animals so as to assess the internal resistance of the fibrin seal to stretching and fragmentation in addi… Show more

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Cited by 35 publications
(25 citation statements)
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“…In addition, the mean diameter of any residual VSDs was significantly smaller in the TISSEEL group. TISSEEL has also been shown to be effective in repairing multiple VSDs in children, with good short‐ and long‐term results . Other reports describing TISSEEL use in major cardiac surgery include retrospective controlled studies that supported the ability of TISSEEL to reduce blood loss (assessed using chest tube outputs) during open‐heart surgery in adult and pediatric patients …”
Section: Resultsmentioning
confidence: 99%
“…In addition, the mean diameter of any residual VSDs was significantly smaller in the TISSEEL group. TISSEEL has also been shown to be effective in repairing multiple VSDs in children, with good short‐ and long‐term results . Other reports describing TISSEEL use in major cardiac surgery include retrospective controlled studies that supported the ability of TISSEEL to reduce blood loss (assessed using chest tube outputs) during open‐heart surgery in adult and pediatric patients …”
Section: Resultsmentioning
confidence: 99%
“…Generally, tailored three‐dimensional (3D) tissue‐engineered scaffolds comprise natural components found in the extracellular matrix, including collagen, fibrin, hyaluronic acid, glycosaminoglycans and hydroxyapatite, and therefore have the benefit of being bio‐active and having common mechanical characteristics of native tissues. In this regard, fibrin is a substance already employed in engineering heart valves and in the surgical repair of ventricular septal defects (Leca et al , ; von Segesser et al , ). Since it was demonstrated that fibrin provides a suitable matrix for cell growth, differentiation and function (Barsotti et al , ; Rojas et al , ), fibrin is also used for the construction of cellularized scaffolds or 'patches' that are placed over the infarcted myocardium to provide optimal cell retention and implantation at the sites of injury (Amrani et al , ; Leor et al , ; Suuronen et al , ; Xing et al , ).…”
Section: Fibrin‐based Scaffolds For Cardiac Tissue Engineeringmentioning
confidence: 99%
“…have established the efficacy of topical agents as effective modalities to conserve blood. [ 78 79 80 81 82 83 ]…”
Section: Topical Hemostatic Agentsmentioning
confidence: 99%