Modified pericardial closure to protect cardiovascular structures during sternal reentry.

Zapolanski, A; Fishman, N H; Bronstein, M N; Ellertson, D G; O'Connell, T J; Siegel, S · Ann Thorac Surg · 1990

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Abstract

A technique is described for covering the anterior surface of the heart and bypass grafts with autologous pericardium after myocardial revascularization. A trapezoidal flap is created that incorporates bilateral relaxing incisions to avoid distortion of grafts or increased risk of pericardial tamponade.

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