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Should the pericardium be closed routinely after heart operations?

Authors
  • Rao, V
  • Komeda, M
  • Weisel, R D
  • Cohen, G
  • Borger, M A
  • David, T E
Type
Published Article
Journal
The Annals of Thoracic Surgery
Publisher
Elsevier
Publication Date
Feb 01, 1999
Volume
67
Issue
2
Pages
484–488
Identifiers
PMID: 10197675
Source
Medline
License
Unknown

Abstract

Pericardial closure may reduce the risk of myocardial injury during sternotomy for repeat coronary artery bypass grafting by preventing right ventricular adhesions. However, adverse hemodynamic effects in the early postoperative period may preclude pericardial closure in patients with impaired ventricular function.

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