Feasible pericardiotomy for off-pump coronary artery bypass.
نویسندگان
چکیده
Pericardiotomy is the first essential step for the exposure of the coronary artery in off-pump coronary artery bypass (OPCAB) via a median sternotomy. After the dissection of the pericardium from the pleura, a longitudinal pericardiotomy from the apex to the aortic reflection was employed. The pericardiotomy was extended transversely to make a trapezoidal flap. By the traction of the left pericardium, anterior vessels were well exposed. For the closure, a trapezoidal pericardial flap was useful.
منابع مشابه
The effect of posterior pericardiotomy on pericardial effusion and atrial fibrillation after off-pump coronary artery bypass graft.
The most common type of arrhythmia following coronary artery bypass graft (CABG) is atrial fibrillation (AF) with an incidence rate of 20-30%. Pericardial effusion is one of the etiologic factors of atrial fibrillation occurring after CABG. Posterior pericardiotomy (PP) causes the drainage of blood and fluids from the pericardial space into the pleural space leading to a decreased pericardial e...
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عنوان ژورنال:
- Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
دوره 9 4 شماره
صفحات -
تاریخ انتشار 2003