The Annals of Thoracic Surgery, Vol 40, 634-635, Copyright © 1985 by The Society of Thoracic Surgeons
Pericardial meshing: a new technique to facilitate primary tension-free pericardial closure
E Milgalter, G Uretzky, S Zilberman, DV Shimon, A Appelbaum and JB Borman
A method is described to facilitate pericardial approximation at the
conclusion of open-heart surgical procedures. Before sternal closure, the
anterior pericardium is meshed by multiple longitudinal incisions until
tension-free closure is possible. The technique was developed by animal
experimentation and is now being performed in patients. It has proven to be
simple, safe, and effective.