Related Experiment Video
Updated: Jul 26, 2026
08:22
A Chronic Cardiac Ischemia Model in Swine Using an Ameroid Constrictor
Published on: October 9, 2017
Modified pericardial closure to protect cardiovascular structures during sternal reentry.
A Zapolanski1, N H Fishman, M N Bronstein
1San Francisco Heart Institute, Seton Medical Center, Daly City, California 94015.
The Annals of Thoracic Surgery
|October 1, 1990
Summary
A novel surgical technique uses a pericardial flap to protect the heart and bypass grafts after myocardial revascularization, reducing risks. This method enhances graft integrity and minimizes complications like pericardial tamponade.
Area of Science:
- Cardiovascular Surgery
- Surgical Techniques
- Cardiac Procedures
Background:
- Myocardial revascularization often requires protecting the heart and bypass grafts.
- Autologous pericardium is a viable material for cardiac tissue coverage.
- Potential complications include graft distortion and pericardial tamponade.
Purpose of the Study:
- To describe a new surgical technique for covering the anterior heart surface and bypass grafts.
- To utilize autologous pericardium effectively in myocardial revascularization procedures.
- To mitigate risks associated with graft coverage, such as distortion and tamponade.
Main Methods:
- A trapezoidal flap of autologous pericardium is created.
- The flap incorporates bilateral relaxing incisions.
- The technique is applied after myocardial revascularization procedures.
Main Results:
- The described technique provides coverage for the anterior heart surface and bypass grafts.
- The use of relaxing incisions prevents graft distortion.
- The method aims to reduce the risk of pericardial tamponade.
Conclusions:
- This technique offers a safe and effective method for pericardial coverage post-myocardial revascularization.
- The flap design minimizes complications, enhancing patient outcomes.
- Autologous pericardium provides a suitable biological covering for cardiac structures.
