Related Experiment Video

Updated: Aug 13, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

[Pericardiectomy for post-coronary artery bypass grafting constrictive pericarditis; strategy for safe and complete

T Shibuya1, M Ohmi, S Kawamoto

  • 1Department of Cardiovascular Surgery, Sendai National Hospital, Sendai, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 13, 2002
PubMed

Insights

Complete pericardiectomy for constrictive pericarditis after coronary artery bypass grafting (CABG) is feasible. A strategy using 3D CT, bilateral thoracotomy, and Doppler ultrasound ensures graft safety and successful surgery.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Constrictive pericarditis following coronary artery bypass grafting (CABG) necessitates pericardiectomy.
  • Complete pericardiectomy must avoid injury to bypass grafts.
  • Optimal surgical strategy is crucial for patient outcomes.

Observation:

  • Preoperative 3D CT precisely mapped bypass grafts and surrounding anatomy.
  • Bilateral thoracotomy was chosen to protect grafts and facilitate exposure.
  • Intraoperative Doppler ultrasound confirmed graft patency and surgical safety.

Findings:

  • Complete pericardiectomy was safely achieved 15 months post-CABG.
  • The combined approach of 3D CT, bilateral thoracotomy, and Doppler ultrasound proved effective.
  • No bypass graft injuries occurred during the procedure.

Implications:

  • This integrated strategy enhances the safety and efficacy of pericardiectomy in post-CABG patients.
  • 3D CT and Doppler ultrasound are vital for preoperative planning and intraoperative guidance.
  • Bilateral thoracotomy offers a safe surgical approach for complex pericardiectomy cases.

More Related Videos

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model05:31

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft05:25

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Published on: September 15, 2023

Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...