title: A Simple and Effective Technique for Anatomical Approximation of the Upper Pericardium Using Hemostatic Clips.
abstract: Closure of the pericardium is important to protect bypass grafts, the great vessels, and the heart from injury due to sternal dehiscence. Furthermore, it is reported to reduce the formation of pericardial adhesions and thus facilitate entry into the chest at resternotomy. We here describe a simple, reproducible, and effective technique for tension-free approximation of the upper pericardium by applying small hemostatic clips to the preserved thymic fascia overlying the pericardium.
authors.affiliation: From the Department of Cardiac Surgery, Harefield Hospital, Harefield, Middlesex, United Kingdom.
authors.forename: Mubassher
authors.initials: M
authors.lastname: Husain
authors.forename: Metesh Nalin
authors.initials: MN
authors.lastname: Acharya
authors.forename: Ian
authors.initials: I
authors.lastname: Cummings
authors.forename: Shahzad Gull
authors.initials: SG
authors.lastname: Raja
mesh_terms: D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006490:Hemostatics; D006801:Humans; D010496:Pericardium / Q000033:anatomy & histology* / Q000601:surgery; D013249:Sternum / Q000601:surgery; D013525:Surgical Instruments
chemical_list: D006490:Hemostatics