Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Alternative for primary pericardial closure: sentry for re-entry.

Nitin Ghorpade1, David Hill, Morteza Mohajeri

  • 1Department of Cardiothoracic Surgery, The Geelong Hospital, P.O. Box 281, Geelong, Vic. 3220, Australia.

Heart, Lung & Circulation
|December 15, 2005
PubMed
Summary

Covering the heart with a pedicled pericardial fat pad during cardiac surgery provides a protective barrier, preventing sternal adhesions without adverse hemodynamic effects. This technique offers a safe alternative to primary pericardial closure for future re-sternotomy.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Diluted Calcium Hydroxylapatite Carboxymethylcellulose (Radiesse) for Décolleté Wrinkles: Safety and Effectiveness in Adult Females.

Aesthetic surgery journal·2026
Same author

Interleukin-6 stimulates platelet 12-lipoxygenase to drive coagulation in inflammatory arthritis.

Journal of lipid research·2026
Same author

Balloon-expandable stenting of extrinsic outflow graft obstruction in an axial-flow left ventricular assist device via a transcarotid approach.

JTCVS structural and endovascular·2026
Same author

Molecular adhesion assay for biopolymer systems.

The Review of scientific instruments·2026
Same author

Geo-Sense: a portable distributed acoustic sensing (DAS) system for high-resolution seafloor monitoring.

Scientific reports·2026
Same author

Overburdened and understaffed: A national mixed-methods examination of Canadian forensic mental health and fitness to stand trial.

International journal of law and psychiatry·2026

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Surgical Techniques

Background:

  • Redo cardiac surgery carries high risks due to potential accidental injury to major vessels and cardiac chambers.
  • Cardiac chamber adherence to the sternum increases injury risk during re-sternotomy.
  • Primary pericardial closure can prevent adherence but may lead to cardiac tamponade.

Purpose of the Study:

  • To evaluate the efficacy of using a pedicled pericardial fat pad to cover the heart in cardiac surgery.
  • To determine if this technique prevents sternal adhesions and avoids adverse hemodynamic effects.
  • To compare outcomes with primary pericardial closure or leaving the pericardium open.

Main Methods:

  • Forty patients undergoing elective cardiac surgery were randomized into two groups: pedicled pericardial fat pad cover (Closure Group, n=23) and no cover (Open Group, n=17).

Related Experiment Videos

  • Hemodynamic parameters (heart rate, CVP, PAP, MAP, CI) were monitored post-operatively.
  • Retrosternal space depth was measured using a radiopaque marker at 6 days and 6 months post-surgery.

    • Main Results:

    • No significant differences in early post-operative hemodynamic parameters were observed between the groups.
    • The Closure Group showed a significantly larger retrosternal space at 6 days (17.5 vs 13.4 mm) and 6 months (12.3 vs 6.0 mm) post-surgery (P<0.001).
    • No mortality occurred in either group.

    Conclusions:

    • Pedicled pericardial fat pad cover is a safe and effective alternative to primary pericardial closure.
    • This technique avoids early adverse hemodynamic effects and provides long-term protection against sternal adhesions.
    • It is a beneficial strategy for patients undergoing cardiac surgery, particularly those anticipating re-sternotomy.