Cardiovascular Patch
Intracardiac Patch · VSD Patch · Dacron Patch · Knitted Polyester Patch · PTFE Patch · ePTFE Patch · GORE-TEX Cardiovascular Patch · Hemapatch
A thin, flexible sheet of synthetic fabric for sewing into the heart or a vessel. Knitted polyester (Dacron) patches look like fine tan or white knit cloth, often coated with collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry to make them nearly watertight. Expanded PTFE (GORE-TEX) patches are smooth and white.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Cut to the size and shape of the defect and sewn in to close a hole or widen a structure: a ventricular septal defectven-TRIK-yuh-ler SEP-tul DEE-fektA hole in the wall between the heart's two lower chambers, present from birth.Full entry (VSD), atrial septal defectAY-tree-ul SEP-tul DEE-fektA hole in the wall between the two upper chambers of the heart.atri/o atrium (upper heart chamber)sept/o wall, partition-al relating toFull entry , atrioventricular canal defect or tetralogy of Fallotteh-TRAL-uh-jee uv fuh-LOHA congenital heart defect made up of four problems in the structure of the heart.tetra- four-logy a set or studyFull entry repair, and great vessel or peripheral vessel reconstruction. For a VSD the surgeon closes the defect cardiopulmonary bypasskar-dee-oh-PUL-muh-nair-ee BY-pasUsing a heart-lung machine to pump and oxygenate the blood outside the body, so the heart can be stopped for surgery.Full entry with a patch held by interrupted pledgetPLEJ-itA small pad used in surgery, such as a felt square threaded on a stitch to reinforce it, or a cotton or sponge pad that packs or applies a drug.Full entry sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry (5-0 or 6-0 nonabsorbable suturenon-ub-ZOR-buh-bul SOO-cherSuture that the body does not break down, so it stays in place, walled off by fibrous tissue, or is removed later.Full entry , double-armed) or a continuous suturekun-TIN-yoo-us SOO-cherA row of stitches made with one strand, tied only at the start and the end; also called a running suture.Full entry . Primary closure without a patch is rare.
Lengths and variants
Supplied flat in many sizes and thicknesses, as rectangles and pre-trimmed or tapered shapes; trimmed on the field to fit. Knitted polyester (some collagenKOL-uh-jenThe main structural protein of the body, which gives strength to skin, bones, tendons, ligaments and scar tissue.coll/a glue-gen producingFull entry coated) or ePTFE. A pericardiumpair-ih-KAR-dee-umThe thin, two-layered sac that surrounds the heart.peri- aroundcardi/o heart-um a structureFull entry patch (the patient's own or treated animal pericardium) is the tissue alternative.
What experienced techs know
What techs who reach for it every day know about it.Pro
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5 sources
- Association of Surgical Technologists (Frey K, ed.). Surgical Technology for the Surgical Technologist. 4th ed. Chapter 22 (Cardiothoracic Surgery), p. 1077-1078
- Mavroudis C, Backer CL, eds. Pediatric Cardiac Surgery. 4th ed. Chapter 17 (Ventricular Septal Defect), p. 324-328
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 26 (Pediatric Surgery), p. 1057
- goremedical.com
- getinge.com
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