ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Jeffrey P. Jacobs
Joseph J. Amato
Martin J. Elliott
Marc R. de Leval
Jaroslav Stark
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jacobs, J. P.
Right arrow Articles by Stark, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jacobs, J. P.
Right arrow Articles by Stark, J.

Ann Thorac Surg 1996;62:1778-1782
© 1996 The Society of Thoracic Surgeons


Original Articles: Cardiovascular

Expanded PTFE Membrane to Prevent Cardiac Injury During Resternotomy for Congenital Heart Disease

Jeffrey P. Jacobs, MD, Raju S. Iyer, MCh, Jo S. Weston, BSc, Joseph J. Amato, MD, Martin J. Elliott, FRCS, Marc R. de Leval, MD, Jaroslav Stark, MD

Great Ormond Street Hospital for Children, London, England, and Schneider Children's Hospital, New York, New York

Accepted for publication June 25, 1996.

Background. Resternotomy for repair of congenital cardiac defects can result in cardiac injury. Closure of the pericardium during the initial operation may prevent this, and several pericardial substitutes have been tried, with variable results, in patients in whom primary pericardial closure is not possible. We conducted a multicenter observational study of the use of the expanded polytetrafluoroethylene membrane (Preclude Pericardial Membrane, formerly called the Gore-Tex Surgical Membrane; W. L. Gore & Associates, Flagstaff, AZ) in patients likely to undergo reoperation for treatment of congenital heart disease.

Methods. Data were collected retrospectively on all patients in whom the expanded polytetrafluoroethylene membrane was inserted at the initial operation for congenital heart disease at 12 centers in 1984 to 1993.

Results. A total of 1,085 patients (mean age, 55 ± 2.5 months) received the membrane. During follow-up ranging from 1.3 to 10.5 years, 105 reoperations were performed. Injury during resternotomy occurred in only 1 patient (1% of reoperations). There were no membrane-related deaths or complications in the entire series of 1,085 patients.

Conclusions. The expanded polytetrafluoroethylene membrane was safe and effective in helping to prevent cardiac injury during resternotomy for treatment of congenital heart disease.




This article has been cited by other articles:


Home page
Asian Cardiovasc. Thorac. Ann.Home page
G. Matsumura, T. Shin'oka, Y. Ikada, T. Sakamoto, and H. Kurosawa
Novel Anti-Adhesive Pericardial Substitute for Multistage Cardiac Surgery
Asian Cardiovasc Thorac Ann, August 1, 2008; 16(4): 309 - 312.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
Y. Naito, T. Shin'oka, N. Hibino, G. Matsumura, and H. Kurosawa
A novel method to reduce pericardial adhesion: A combination technique with hyaluronic acid biocompatible membrane.
J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 850 - 856.
[Abstract] [Full Text] [PDF]


Home page
ICVTSHome page
C. P. Napoleone, G. Oppido, E. Angeli, and G. Gargiulo
Resternotomy in pediatric cardiac surgery: CoSeal(R) initial experience
Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 21 - 23.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
T. Walther, A. Rastan, I. Dahnert, V. Falk, S. Jacobs, F. W. Mohr, and M. Kostelka
A novel adhesion barrier facilitates reoperations in complex congenital cardiac surgery
J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 359 - 363.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
P. Leprince, M. Rahmati, N. Bonnet, V. Bors, A. Rama, Ph. Leger, I. Gandjbakhch, and A. Pavie
Expanded polytetrafluoroethylene membranes to wrap surfaces of circulatory support devices in patients undergoing bridge to heart transplantation
Eur. J. Cardiothorac. Surg., March 1, 2001; 19(3): 302 - 306.
[Abstract] [Full Text] [PDF]


Home page
Hum ReprodHome page
B.S. Hurst and t. United States Expanded Polytetrafluoroethylene Rep
Permanent implantation of expanded polytetrafluoroethylene is safe for pelvic surgery
Hum. Reprod., April 1, 1999; 14(4): 925 - 927.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J. Lahtinen, J. Satta, S. Lahde, I. Suramo, J. Nissinen, R. Pokela, and T. Juvonen
Computed tomographic evaluation of retrosternal adhesions after pericardial substitution
Ann. Thorac. Surg., October 1, 1998; 66(4): 1264 - 1268.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
F. J. Hitchcock, G. B. W. E. Bennink, and N. Sreeram
PTFE Membranes, Redo Operations, and Epicardial Echocardiography
Ann. Thorac. Surg., October 1, 1997; 64(4): 1220 - 1220.
[Full Text]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.