Fibrin Sealant Patch to Treat Dialysis-Associated Hemorrhagic Pericarditis

Abstract

A 73-year-old male patient with a 3-year history of hemodialysis was admitted for the treatment of pericardial effusion. Echocardiography suggested a diagnosis of effusive pericarditis. Pericardiocentesis was performed several times. Six weeks after the admission, the patient developed cardiac tamponade. Surgical pericardiotomy showed the epicardium had a diffuse shaggy and hemorrhagic surface. To control diffuse oozing, fibrin sealant patches (Tachosil; CSL Behring, Tokyo, Japan) were attached to the epicardium. Oozing was then controlled.