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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e1-e3
DOI: 10.1055/s-0041-1736456
Case Report: Cardiac

Recurrent Cardiac Constriction after Implantation of an Expanded Polytetrafluoroethylene Surgical Membrane

Paul-Cătălin Puiu 
1   Department of Cardiovascular Surgery, Universitäts-Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Baden Württemberg, Germany
2   Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
,
Matthias Siepe
1   Department of Cardiovascular Surgery, Universitäts-Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Baden Württemberg, Germany
2   Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
,
Wolfgang Zeh
2   Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
3   Department of Cardiology, Universitäts-Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Baden-Württemberg, Germany
,
Emmanuel Zimmer
1   Department of Cardiovascular Surgery, Universitäts-Herzzentrum Freiburg Bad Krozingen, Bad Krozingen, Baden Württemberg, Germany
2   Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Freiburg, Germany
› Author Affiliations Funding No funding was received.
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Abstract

One of the challenges compounding the complexity of reoperative cardiac surgery is the surgical adhesion, which can be responsible for adverse intraoperative events. Implantation of a substitute neo-pericardium has become a frequently used solution, with currently rising numbers of reoperations. We report the case of a 38-year-old man who developed recurrent delayed cardiac constriction following the implantation of an expanded polytetrafluoroethylene neo-pericardium. Careful preoperative planning is recommended to plan the optimal method of pericardioplasty, taking into account the pros and cons of each available material.

Keywords

pericardium - cardiac surgery - surgery


Publication History

Received: 31 March 2021

Accepted: 01 July 2021

Article published online:
17 January 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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