In the presence of an internal mammary artery graft crossing the mid-sternal line,
a median sternotomy may jeopardize the graft and consequently bring a hemodynamic
compromise. We describe a case of successful radical pericardiectomy for postoperative
constrictive pericarditis using a “T-shaped” thoraco tomy in a 68-year-old male patient
who had a right IMA graft to the left anterior descending coronary artery.
Constrictive pericarditis - Mid-sternal crossing Right internal mammary artery - Coronary
artery bypass grafting - Repeat median sternotomy
