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