Technical Considerations for Myocardial Revascularization in Congenital Bilateral Hypoplasia of the Pericardium
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...
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| Veröffentlicht in: | The Annals of thoracic surgery 2006, Vol.81 (1), p.352-354 |
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| creator | Firstenberg, Michael S. Sai-Sudhakar, Chittoor B. Raman, Subha V. Michler, Robert E. |
| description | 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. |
| doi_str_mv | 10.1016/j.athoracsur.2004.08.085 |
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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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2004.08.085</identifier><identifier>PMID: 16368404</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Chest Pain - etiology ; Coronary Stenosis - complications ; Heart ; Humans ; Incidental Findings ; Internal Mammary-Coronary Artery Anastomosis - methods ; Male ; Mammary Arteries - surgery ; Mammary Arteries - transplantation ; Medical sciences ; Morphogenesis ; Pericardium - abnormalities ; Pericardium - embryology ; Pericardium - surgery ; Phrenic Nerve - abnormalities ; Postoperative Complications - prevention & control ; Respiratory Paralysis - prevention & control ; Rotation ; Surgery (general aspects). 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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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chest Pain - etiology</subject><subject>Coronary Stenosis - complications</subject><subject>Heart</subject><subject>Humans</subject><subject>Incidental Findings</subject><subject>Internal Mammary-Coronary Artery Anastomosis - methods</subject><subject>Male</subject><subject>Mammary Arteries - surgery</subject><subject>Mammary Arteries - transplantation</subject><subject>Medical sciences</subject><subject>Morphogenesis</subject><subject>Pericardium - abnormalities</subject><subject>Pericardium - embryology</subject><subject>Pericardium - surgery</subject><subject>Phrenic Nerve - abnormalities</subject><subject>Postoperative Complications - prevention & control</subject><subject>Respiratory Paralysis - prevention & control</subject><subject>Rotation</subject><subject>Surgery (general aspects). 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Biological and medical sciences Chest Pain - etiology Coronary Stenosis - complications Heart Humans Incidental Findings Internal Mammary-Coronary Artery Anastomosis - methods Male Mammary Arteries - surgery Mammary Arteries - transplantation Medical sciences Morphogenesis Pericardium - abnormalities Pericardium - embryology Pericardium - surgery Phrenic Nerve - abnormalities Postoperative Complications - prevention & control Respiratory Paralysis - prevention & control Rotation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Tissue and Organ Harvesting - methods |
| title | Technical Considerations for Myocardial Revascularization in Congenital Bilateral Hypoplasia of the Pericardium |
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