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Ann Thorac Surg 1995;60:1115-1116
© 1995 The Society of Thoracic Surgeons


Invited Commentary

Invited Commentary

T. Bruce Ferguson, Jr, MD

Division of Cardiothoracic Surgery, Washington University School of Medicine, 3108 Queeny Tower, Barnes Hospital Plaza, St. Louis, MO 63110

The first 20% of the full text of this article appears below.

See also page 1111.

This case report by Barrington and colleagues addresses an uncommon complication of thoracotomy defibrillator implantation, namely, constriction from the fibrous capsule that forms around the patch electrodes placed in the intrapericardial position.

Their literature review further documents that the reported incidence of constrictive ``pericarditis'' after thoracotomy defibrillator implantation is one-tenth that reported after other types of cardiac operations. Because postoperative constriction is itself rare [1], they conclude that constriction after intrapericardial placement of patch electrodes is probably underrecognized.

Although the other case reports documenting this complication are present in cardiology, medical, and radiology journals, this appears to be the first clinical report in a surgical journal. However, any cardiac surgeon who has had to perform an open heart operation on a patient with previously . . . [Full Text of this Article]


Related Article

Defibrillator Patch Electrode Constriction: An Underrecognized Entity
William W. Barrington, Ubeydullah Deligonul, Arthur R. Easley, and John R. Windle
Ann. Thorac. Surg. 1995 60: 1112-1115. [Abstract] [Full Text]



This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
J. H. Lemmer Jr and T. B. Ferguson Jr
Defibrillator Patch Constriction
Ann. Thorac. Surg., March 1, 1996; 61(3): 1042 - 1042.
[Full Text]




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