Document Detail


Absent pericardium during coronary bypass.
MedLine Citation:
PMID:  9125036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The importance of recognizing congenitally absent left pericardium in the setting of acquired cardiovascular disease was recently appreciated during a case of coronary artery bypass grafting. An associated defect in the left hemidiaphragm and an abnormal location of the left phrenic nerve were found. Careful dissection of the phrenic nerve from the surface of the heart and closure of the diaphragmatic defect were necessary to avoid injury to the former and prevent hernia through the latter structure. Absent left pericardium discovered during cardiac surgery requires attention to the location of the left phrenic nerve and recognition of associated defects in the diaphragm.
Authors:
L E Samuels; S Sharma; M S Kaufman; R J Morris; S K Brockman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  132     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-24     Completed Date:  1997-04-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  318-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, Allegheny University Hospital, Hahnemann Division, Philadelphia, Pa, USA.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple
Coronary Artery Bypass*
Diaphragm / abnormalities
Humans
Intraoperative Period
Male
Middle Aged
Pericardium / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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