Pleural Flap Closure of Pericardial Defects Following Intrapericardial Pneumonectomy

Schechter, Frederick G.; Owens, Richard R.; Bryant, Lester R.

doi:10.1016/s0003-4975(10)64891-6

Cited by 23 publications

(10 citation statements)

References 17 publications

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“…Esses são os motivos pelos quais tem-se buscado maneiras de se fechar a cavidade pericárdica com técnicas diversas de pericardioplastia (10)(11)(12) e com substitutos do pericárdio, biológicos e sintéticos. Os primeiros podem ser autólogos (7,13,14) ou heterólogos (15)(16)(17)(18)(19)(20)(21) , os últimos, inabsorvíveis (22)(23)(24)(25)(26)(27) e absorvíveis (27)(28)(29)(30) .…”

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Substituição parcial do pericárdio de cães por membrana de látex natural

Sader¹,

Netto²,

Neto³

et al. 2000

Rev Bras Cir Cardiovasc

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Substituição parcial do pericárdio de cães por membrana de látex natural

Sader¹,

Netto²,

Neto³

et al. 2000

Rev Bras Cir Cardiovasc

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“…Increasingly, some authors have recommended routine closure of all pericardial defects by a variety of means. This can be by primary closure 5 , patch closure with artificial materials 7 , patch closure using pleural flap 7,22,23 or patch closure using fascia lata from the lateral thigh 21 . Closure of the pericardium increases the risk of tamponade and artificial materials provide a risk of infection 7,21 .…”

Section: Discussionmentioning

confidence: 99%

Cardiac Herniation following Pneumonectomy—An Old Complication Revisited

Chambers

Walton

Pearce

2005

Anaesth Intensive Care

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Cardiac herniation is a recognised complication of pneumonectomy when a pericardial defect has been made during resection. This complication is very rare and, with the increasing preference for more limited resections, is even less frequently encountered now than it was several decades ago. Uncorrected cardiac herniation is usually lethal, with a high incidence of morbidity and mortality even after correction. We present a case of left-sided cardiac herniation following intrapericardial pneumonectomy to illustrate the difficulty of making this rare diagnosis. Aetiology, pathophysiology, clinical picture and diagnosis of cardiac herniation are reviewed. We also describe the treatment and prevention of this serious complication. Cardiac herniation should be considered in any patient with acute deterioration after pneumonectomy.

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“…There are advantages and disadvantages to the several kinds of pericardial substitute that have been used clinically. Autologous material such as pleura (3) or fascia lata (4,5) make good choices, but, even if it is used as a pericardial substitute, finding a source is difficult and adhesion with the heart and grafts is severe; autologous material is very disadvantageous during re‐operation. Heterologous materials such as a glutaraldehyde cross‐linked porcine, bovine, and equine pericardium (6–8) show excellent handling properties and minimal epicardial reaction, but they show degenerative changes such as calcification (8,9).…”

Section: Discussionmentioning

confidence: 99%

Experience with Expanded Polytetrafluoroethylene (ePTFE Gore‐Tex) Surgical Membrane for Coronary Artery Grafting: Does ePTFE Surgical Membrane Predispose to Postoperative Mediastinitis?

et al. 2004

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The advantage of completely closing the pericardium after a coronary artery bypass grafting is the avoidance of injury of the heart and grafts during a re-operation. However, it would obviously be counterproductive to close the pericardium with a substitute that is predisposed to infection. This study was designed to evaluate the safety of ePTFE surgical membrane in comparison to native pericardium or autologous tissue. Between January 1992 to March 2003, 695 coronary artery bypass graftings were performed. The hearts and grafts were covered with ePTFE surgical membrane (474 cases: ePTFE group), or autologous pericardium and/or other autologous tissue (221 cases: non-ePTFE group). Often, a bilateral dissection of the internal thoracic artery was performed, which lengthened the surgery, the cardiopulmonary bypass, and the aortic clamp, in the ePTFE group. But there was no difference between the ePTFE group (2.1%) and the non-ePTFE group (3.2%) in the development of postoperative mediastinitis. There was also no difference between the two groups in the organism type of the infection. Methicillin resistant Staphylococcus aureus (MRSA) is the most common organism cultured from sternal wound infections; there were five cases in the ePTFE group, and four cases in the non-ePTFE group. In the ePTFE group, the hospital mortality due to postoperative mediastinitis was zero, and there was also no significant difference between the ePTFE group and the non-ePTFE group in time from the drainage operation to discharge; 74.3 days in the ePTFE group, and 81.0 days in the non-ePTFE group. The clinical use of ePTFE surgical membrane for a coronary artery bypass grafting does not appear to be a risk factor for mediastinitis.

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Pleural Flap Closure of Pericardial Defects Following Intrapericardial Pneumonectomy

Cited by 23 publications

References 17 publications

Substituição parcial do pericárdio de cães por membrana de látex natural

Substituição parcial do pericárdio de cães por membrana de látex natural

Cardiac Herniation following Pneumonectomy—An Old Complication Revisited

Experience with Expanded Polytetrafluoroethylene (ePTFE Gore‐Tex) Surgical Membrane for Coronary Artery Grafting: Does ePTFE Surgical Membrane Predispose to Postoperative Mediastinitis?

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