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Modified method for epicardial constriction: the electric-Waffle procedure
1Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at 123 Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan ROC. sal421@adm.cgmh.org.tw
Abstract:
Residual epicardial constriction after pericardiectomy prevents good results. The Waffle procedure, incising the fibrotic epicardium in a crosshatched manner, is frequently used to release the epicardial constriction. In this report, we describe a modification of the Waffle procedure, which uses the electrocautery unit and watching the standard monitoring equipment for arrhythmia, to perform multiple epicardial incisions.
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