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Ann Thorac Surg 1990;50:998-999
© 1990 The Society of Thoracic Surgeons

Articles

Easy dissection of hard and thickened pericardium on constrictive pericarditis

Takahiko Oku, MD, PhD*, Yoshihide Sawada, MD, Seiichiro Minohara, MD, Tadao Ohyama, MD, Atsuro Takeuchi, MD, PhD

Department of Thoracic Surgery, Osaka Medical College, Osaka, Japan

Accepted for publication August 3, 1990.

* Address reprint requests to Dr Oku, Department of Thoracic Surgery, Osaka Medical College, 2-7 Daigakucho, Takatsuki, Osaka 569, Japan.

The keys to successful pericardiectomy for constrictive pericarditis are early operation and as complete a pericardiectomy as possible. With the high-speed burr it is easy and safe to dissect the calcified pericardium and define the epicardium even in a small operative field such as the inferior or posterior portion of the heart. This method has the important ability to perform very complete pericardiectomy.






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