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Ann Thorac Surg 1990;50:665-666
© 1990 The Society of Thoracic Surgeons

Articles

Modified pericardial closure to protect cardiovascular structures during sternal reentry

Alex Zapolanski, MD*, Noel H. Fishman, MD, Merrill N. Bronstein, MD, David G. Ellertson, MD, Thomas J. O'connell, MD, Sharon Siegel, MD

San Francisco Heart Institute, Seton Medical Center, Daly City, California USA

Accepted for publication June 1, 1990.

* Address reprint requests to Dr Zapolanski, San Francisco Heart Institute, Seton Medical Center, 1900 Sullivan Ave, Daly City, CA 94015.

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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