The "T-shaped" thoracotomy for pericardiectomy after midline crossed IMA grafting.
In the presence of an internal mammary artery graft crossing the mid-sternal line, a median sternotomy may jeopardize the graft and consequently bring a hemodynamic compromise. We describe a case of successful radical pericardiectomy for postoperative constrictive pericarditis using a "T-shaped" thoracotomy in a 68-year-old male patient who had a right IMA graft to the left anterior descending coronary artery.
Okamoto
H
H
Division of Thoracic and Cardiovascular Surgery, Yokkaichi Municipal Hospital, Japan.
Morita
S
S
Fujimoto
K
K
Niimi
T
T
Yasuura
K
K
D000368:Aged; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D010492:Pericardiectomy / Q000379:methods*; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*