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'''Pericardiectomy''' is the surgical removal of part or most of the [[pericardium]]. This operation is performed  to relieve [[constrictive pericarditis]], or to remove a [[pericardium]] that is calcified and fibrous.
 
==Overview==
 
'''Pericardiectomy''' is the surgical removal of part or most of the [[pericardium]]. This operation might be done to relieve [[constrictive pericarditis]], or to remove a [[pericardium]] that is calcified and fibrous.
 
It takes place by removing the infected, fibrosed, or otherwise damaged pericardium. The procedure begins when the [[surgeon]] makes an incision in the skin over the [[breastbone]] and divides it to expose the pericardium. During the surgery, the surgeon will grasp the pericardium, cut the top of this fibrous covering of the [[heart]], drop into the specimen bag, and the heart is recovered. Then, the surgeon will wire the breastbone back together, the incision is closed, and the procedure is completed.


The procedure begins when the [[surgeon]] makes an incision in the skin over the [[breastbone]] and divides it to expose the pericardium. During the surgery, the surgeon will grasp the pericardium surrounding the heart, and will remove the fibrous, calcified or infected tissue covering of the [[heart]].  The procedure can be complicated by perforation or tearing of the heart muscle if the heart muscle is tightly adherent to the pericardium.  Stated simply, removal of the pericardium can remove the densely adherent heart muscle itself which is a catastrophic complication.  Once the pericardium is removed, the surgeon will wire the breastbone back together, the incision is closed, and the procedure is completed.


{{Cardiac surgery and other cardiovascular procedures}}
{{Cardiac surgery and other cardiovascular procedures}}
{{SIB}}
{{SIB}}


[[Category:Cardiology]]
[[Category:Cardiology]]

Revision as of 00:19, 27 June 2011

Pericardiectomy
ICD-9 37.31
MeSH D010492

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Pericardiectomy is the surgical removal of part or most of the pericardium. This operation is performed to relieve constrictive pericarditis, or to remove a pericardium that is calcified and fibrous.

The procedure begins when the surgeon makes an incision in the skin over the breastbone and divides it to expose the pericardium. During the surgery, the surgeon will grasp the pericardium surrounding the heart, and will remove the fibrous, calcified or infected tissue covering of the heart. The procedure can be complicated by perforation or tearing of the heart muscle if the heart muscle is tightly adherent to the pericardium. Stated simply, removal of the pericardium can remove the densely adherent heart muscle itself which is a catastrophic complication. Once the pericardium is removed, the surgeon will wire the breastbone back together, the incision is closed, and the procedure is completed.

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