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The Annals of Thoracic Surgery, Vol 45, 311-314, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Postoperative fibrous cardiac constriction

LI Bonchek, MW Burlingame and BE Vazales
Lancaster General Hospital, PA.

Two patients with postoperative fibrous cardiac constriction are described. Unlike postoperative pericardial or epicardial constriction, the fibrous constricting layer in these patients envelopes the vein bypass grafts and is separate from the pericardium, which is not involved. Surgical management of these patients is difficult and hazardous; a strategy is outlined.




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Copyright © 1988 by The Society of Thoracic Surgeons.