Reoperation after pericardial closure with bovine pericardium

Jibah Eng, P. S. Ravichandran, Cedric R. Abbott, Philip H. Kay, Andrew J. Murday, Issam Shreiti

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

To reduce the risk of damage to the anterior surface of the right ventricle after resternotomy, it has been recommended that the pericardium be closed with a patch after open heart operations. We have examined 4 patients undergoing resternotomy for the third time 3 to 8 years after bovine pericardium valve replacement. On each occasion the pericardium was closed with a patch of bovine pericardium. In all cases, the patch was frozen to the inner aspect of the sternum, increasing the difficulty of resternotomy. Histological examinations of the patches confirmed dense fibrous connective tissue, patchy calcification, and foreign body giant cell reaction. Bovine pericardium appears to increase the difficulty of repeat cardiac operations. We recommend its use be discontinued.

Original languageEnglish (US)
Pages (from-to)813-815
Number of pages3
JournalThe Annals of thoracic surgery
Volume48
Issue number6
DOIs
StatePublished - Dec 1989

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Eng, J., Ravichandran, P. S., Abbott, C. R., Kay, P. H., Murday, A. J., & Shreiti, I. (1989). Reoperation after pericardial closure with bovine pericardium. The Annals of thoracic surgery, 48(6), 813-815. https://doi.org/10.1016/0003-4975(89)90675-9