Factor XIII prevents development of myocardial edema in children undergoing surgery for congenital heart disease.

Abstract:

:In a prospective investigation of perioperative cardiac edema formation requiring a delayed sternal closure, we identified thrombin increase combined with a simultaneous decrease of factor XIII as a probable cause. After experimental studies additionally revealed that factor XIII could protect endothelial barrier function, we did another prospective randomized trial in which factor XIII or placebo was preoperatively substituted. The substitution finally showed distinct effects minimizing the incidence of myocardial swelling. Therefore, the clinical application of factor XIII may have a valuable therapeutic benefit in cases of leakage syndrome during extracorporeal circulation in congenital heart surgery.

journal_name

Ann N Y Acad Sci

authors

Wozniak G,Noll T,Akintürk H,Thul J,Müller M

doi

10.1111/j.1749-6632.2001.tb03549.x

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

617-20

eissn

0077-8923

issn

1749-6632

journal_volume

936

pub_type

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