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Lawrence I. Bonchek
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Ann Thorac Surg 1988;45:311-314
© 1988 The Society of Thoracic Surgeons

Articles

Postoperative Fibrous Cardiac Constriction

Lawrence I. Bonchek, M.D., F.A.C.S.*, Mark W. Burlingame, M.D., F.A.C.S., Brad E. Vazales, M.D.

From the Lancaster General Hospital, Lancaster, PA

Accepted for publication October 29, 1987.

* Address reprint requests to Dr. Bonchek, Cardiothoracic Surgeons of Lancaster, P.C., 555 North Duke St, Lancaster, PA 17602

Two patients with postoperative fibrous cardiac constriction are described. Unlike postoperative pericardial or epicardial constriction, the fibrous constricting layer in these patients envelops 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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