Postoperative fibrous cardiac constriction.
Two patients with postoperative fibrous cardiac constriction are described. Unlike postoperative pericardial or epicardial constriction, the fibrous constricting layer in these patients envelopes the vein bypass grafts and is separate from the pericardium, which is not involved. Surgical management of these patients is difficult and hazardous; a strategy is outlined.
Bonchek
L I
LI
Lancaster General Hospital, PA.
Burlingame
M W
MW
Vazales
B E
BE
D009202:Cardiomyopathies / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001026:Coronary Artery Bypass; D005355:Fibrosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D012086:Reoperation