Off-pump coronary artery bypass in congenital absence of pericardium

Abstract

Off-pump coronary artery bypass involves precise manipulations for proper positioning the heart without causing hemodynamic compromise. Pericardial stay sutures exerting appropriate traction play an important role in off-pump surgery. We report a rare case in which a congenital pericardial defect was discovered after sternotomy in a patient undergoing off-pump coronary artery bypass.

Keywords

Congenital pericardial defects coronary artery bypass off-pump heart defects congenital pericardium radiography thoracic off-pump coronary artery bypass

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References

Nasser

. Congenital diseases of the pericardium. Cardiovasc Clin 1976; 7: 271–286.

Columbus MR. De re anatomica. Vol 15. Burlasque Ned. Venice 1559: 265–269.

Southworth H, Stevenson CS. Congenital defects of the pericardium. Arch Intern Med 1938; 61: 223–240. Available at: http://archinte.jamanetwork.com/Issue.aspx?journalid=71&issueID=14346&direction=P.

Van Son

Danielson

Schaff

Mullany

Julsrud

Breen

. Congenital partial and complete absence of the pericardium. Mayo Clin Proc 1993; 68: 743–747.

Ellis

Leeds

Himmelstein

. Congenital deficiencies in parietal pericardium: review with two new cases including successful diagnosis by plain roentgenography. Am J Roentgenol Radium Ther Nucl Med 1959; 82: 125–137.

Faridah

Julsrud

. Congenital absence of pericardium revisited. Int J Cardiovasc Imaging 2002; 18: 67–73.

Fukuda

Oki

Iuchi

Tabata

Manabe

Kageji

. Pulmonary and systemic venous flow patterns assessed by transesophageal Doppler echocardiography in congenital absence of the pericardium. Am J Cardiol 1995; 75: 1286–1288.

Funken

d'Udekem d'Acoz

Noirhomme

. Congenital pericardial defect. Cardiovasc Surg 2002; 10: 618–619.