TY - JOUR
T1 - Technical considerations for myocardial revascularization in congenital bilateral hypoplasia of the pericardium
AU - Firstenberg, Michael S.
AU - Sai-Sudhakar, Chittoor B.
AU - Raman, Subha V.
AU - Michler, Robert E.
PY - 2006/1
Y1 - 2006/1
N2 - Congenital hypoplasia of the pericardium is a rare clinical condition that is typically encountered as an incidental finding during routine thoracic imaging or cardiothoracic surgery. Chest pain symptoms, when they occur, are often initially attributed to coronary ischemic syndromes, but herniation of cardiac structures through the pericardial defect, ischemia from torsion of great vessels, or compression of pulmonary parenchyma through defects between the aortic and pulmonary arteries can occur. Careful attention to cannulation techniques, conduit length, and the aberrant course of the phrenic nerves, typically through pericardial fibrous bands, is critical to the successful conduct of cardiac surgery.
AB - Congenital hypoplasia of the pericardium is a rare clinical condition that is typically encountered as an incidental finding during routine thoracic imaging or cardiothoracic surgery. Chest pain symptoms, when they occur, are often initially attributed to coronary ischemic syndromes, but herniation of cardiac structures through the pericardial defect, ischemia from torsion of great vessels, or compression of pulmonary parenchyma through defects between the aortic and pulmonary arteries can occur. Careful attention to cannulation techniques, conduit length, and the aberrant course of the phrenic nerves, typically through pericardial fibrous bands, is critical to the successful conduct of cardiac surgery.
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U2 - 10.1016/j.athoracsur.2004.08.085
DO - 10.1016/j.athoracsur.2004.08.085
M3 - Article
C2 - 16368404
AN - SCOPUS:29144454523
SN - 0003-4975
VL - 81
SP - 352
EP - 354
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -