Modified pericardial closure to protect cardiovascular structures during sternal reentry.
A technique is described for covering the anterior surface of the heart and bypass grafts with autologous pericardium after myocardial revascularization. A trapezoidal flap is created that incorporates bilateral relaxing incisions to avoid distortion of grafts or increased risk of pericardial tamponade.
Zapolanski
A
A
San Francisco Heart Institute, Seton Medical Center, Daly City, California 94015.
Fishman
N H
NH
Bronstein
M N
MN
Ellertson
D G
DG
O'Connell
T J
TJ
Siegel
S
S
D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods*; D010496:Pericardium / Q000601:surgery*; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*