Off-pump pericardiectomy using an ultrasonic scalpel and a heart positioner.
The surgical treatment of constrictive pericarditis often requires extensive pericardial dissection under cardiopulmonary bypass. We performed a pericardiectomy in a patient with constrictive pericarditis without cardiopulmonary bypass, with assistance of a sternal retractor and a suction heart positioner. The severely calcified pericardium, which adhered tightly to the epicardium, was dissected with an ultrasonic scalpel. The operation was completed without blood transfusion. There was no malignant arrhythmia.
Department of Cardiovascular and Thoracic Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan. fukumoto@koto.kpu-m.ac.jp
Atsushi
A
Fukumoto
Masaaki
M
Yamagishi
Kiyoshi
K
Doi
Mitsugu
M
Ogawa
Tomoya
T
Inoue
Hitoshi
H
Yaku
D002114:Calcinosis / Q000473:pathology / Q000601:surgery*; D009202:Cardiomyopathies / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D010492:Pericardiectomy / Q000009:adverse effects / Q000295:instrumentation*; D010494:Pericarditis, Constrictive / Q000473:pathology / Q000601:surgery*; D013249:Sternum / Q000601:surgery; D013396:Suction / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation*