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

Constrictive epicarditis after open heart surgery: the turtle cage operation.

G Faggian1, A Mazzucco, V Tursi

  • 1Department of Cardiovascular Surgery, University of Padova Medical School, Italy.

Journal of Cardiac Surgery
|December 1, 1990
PubMed
Summary

Constrictive epicarditis after mitral valve replacement can be treated with a novel "turtle cage" epicardial peel technique. This approach safely relieves constriction and restores heart function, avoiding injury to the myocardium.

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

What can we learn from systematic segmental analysis of fetal heart by postmortem micro-CT: Is it time to change approach?

International journal of cardiology. Congenital heart disease·2024
Same author

Molecular effects of cardiac contractility modulation in patients with heart failure of ischemic aetiology uncovered by transcriptome analysis.

Frontiers in cardiovascular medicine·2024
Same author

Desmin mutations impact the autophagy flux in C2C12 cell in mutation-specific manner.

Cell and tissue research·2023
Same author

<i>S. gallolyticus</i> Aortic Valve Endocarditis with Mitral Valve Leaflet Aneurysm.

Case reports in cardiology·2022
Same author

Effects of Aortic Valve Replacement on Left Ventricular Diastolic Function in Patients With Aortic Valve Stenosis.

The American journal of cardiology·2019
Same author

Transverse cardiac slicing and optical imaging for analysis of transmural gradients in membrane potential and Ca<sup>2+</sup> transients in murine heart.

The Journal of physiology·2018

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Pathology
  • Medical Device Technology

Background:

  • Constrictive epicarditis is a rare but serious complication following cardiac surgery.
  • Mitral valve replacement (MVR) can precipitate epicardial inflammation and thickening.
  • Early diagnosis and management are crucial for patient outcomes.

Observation:

  • A 60-year-old male presented with constrictive epicarditis one year post-isolated MVR.
  • Reoperation revealed a severely thickened epicardial layer, posing a high risk for myocardial and coronary artery injury during decortication.
  • A modified epicardial peel technique, involving multiple incisions, was employed.

Findings:

  • The modified epicardial peel created a "turtle cage"-like structure.

Related Experiment Videos

  • This technique facilitated myocardial reexpansion and relieved cardiac constriction.
  • Hemodynamic function was successfully restored post-procedure.

    • Implications:

    • The "turtle cage" epicardial peel offers a viable, lower-risk surgical strategy for managing severe constrictive epicarditis post-MVR.
    • This innovative approach may improve outcomes for patients experiencing this rare complication.
    • Further research could explore the long-term efficacy and applicability of this technique in similar cases.