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The Annals of Thoracic Surgery, Vol 50, 665-666, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Modified pericardial closure to protect cardiovascular structures during sternal reentry

A Zapolanski, NH Fishman, MN Bronstein, DG Ellertson, TJ O'Connell and S Siegel
San Francisco Heart Institute, Seton Medical Center, Daly City, California 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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