JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Dong Jin Kim
Woong-Han Kim
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kim, D. J.
Right arrow Articles by Kim, W.-H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, D. J.
Right arrow Articles by Kim, W.-H.
Related Collections
Right arrow Pericardium

J Thorac Cardiovasc Surg 2007;133:843-844
© 2007 The American Association for Thoracic Surgery

Brief Communication

Cardiac constriction induced by fibrotic peel formation of myocardium due to polytetrafluoroethylene membrane

Dong Jin Kim, MD, Jae Gun Kwak, MD, Woong-Han Kim, MD, PhD*

Department of Thoracic and Cardiovascular Surgery, Clinical Research Institute, Seoul National University Children’s Hospital, College of Medicine, Seoul National University, Seoul, Korea.

Received for publication November 5, 2006; accepted for publication November 20, 2006.

* Address for reprints: Woong-Han Kim, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Seoul National University, College of Medicine, Seoul National University Children’s Hospital, 28 Yongon-Dong, Jongno-Gu, Seoul, 110-744, Korea. (Email: woonghan@snu.ac.kr).

The first 20% of the full text of this article appears below.


Figure 1
Drs Kim DJ, Kim WH, and Kwak JG (left to right)


Repeated operations are required for some cardiac diseases, and for safer reentry, a polytetrafluoroethylene (PTFE) membrane may be used. However, we experienced a fibrotic myocardial layer lying beneath a PTFE membrane, which constricted the heart and caused difficulty weaning the patient off cardiopulmonary bypass (CPB). After removing the fibrotic layer, the heart showed good contraction and weaning from CPB became possible. This case demonstrates that PTFE membrane placement may cause the formation of a fibrotic layer, which may adversely affect hemodynamics.

Clinical Summary

A 7-year-old boy was referred to our hospital for repair of a congenitally corrected transposition of great arteries (cc-TGA) with an intact ventricular septum. The patient had been diagnosed as having cc-TGA with progressive tricuspid valve regurgitation. He had undergone previous pulmonary artery banding (PAB) and PAB tightening . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by The American Association for Thoracic Surgery.