Pericardial Baffle
Intractable bleeding can occur in complex aortic surgeries such as redo aortic surgeries, aortic dissection repair, endocarditis with root abscess and aortic arch repairs. The cause of such bleeding can be multi-factorial, which includes long bypass time, technique error, coagulopathy, fragile tissue etc. When common practice using reinforce sutures, local packing, massive transfusion of blood and blood products along with clotting agents fails, a pericardial baffle (modified Cabrol patch) may be the only option to save the patient.
See the paper: Use of pericardial baffle in the management of intractable bleeding in patients undergoing aortic surgery
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