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Charles C. Canver
Charles A.S. Marrin
Stephen K. Plume
William C. Nugent
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Ann Thorac Surg 1993;55:179-180
© 1993 The Society of Thoracic Surgeons

Articles

Autologous pericardial flap for prevention of reentry injury in cardiac reoperations

Charles C. Canver, MD*, Charles A.S. Marrin, MB, BS, Stephen K. Plume, MD, William C. Nugent, MD

Section of Cardiothoracic Surgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA

Accepted for publication September 4, 1992.

* Address reprint requests to Dr Canver, Section of Cardiothoracic Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756.

Cardiac injury during sternal reentry to the heart is a rare but dangerous complication of cardiac reoperations. Positioning a pericardial flap between the heart and sternum at the time of the initial operation may consistently facilitate cardiac reoperation by providing a reliable plane of dissection and by reducing adhesion formation.




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