Vol. 25 No. 2 (2021)
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An original method of pericardium closure after coronary artery bypass grafting

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  • G.G. Kvaratskheliya,
  • E.P. Golubev,
  • U.S. Avkhadov,
  • R.M. Ibragimov,
  • B.E. Rustamov,
  • E.U. Asymbekova,
  • L.S. Shakhnazaryan,
  • Yu.I. Buziashvili
G.G. Kvaratskheliya
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
Bio
E.P. Golubev
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
U.S. Avkhadov
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
R.M. Ibragimov
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
B.E. Rustamov
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
E.U. Asymbekova
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
L.S. Shakhnazaryan
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
Yu.I. Buziashvili
A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Moscow
DOI: https://doi.org/10.21688/1681-3472-2021-2-95-101

Published 2021-06-28

Keywords

  • cardiac surgery,
  • coronary artery bypass grafting,
  • coronary heart disease,
  • pericardial closure,
  • pericardium,
  • resternotomy,
  • suturing of the pericardium
    • ...More
    Less

How to Cite

Kvaratskheliya, G., Golubev, E., Avkhadov, U., Ibragimov, R., Rustamov, B., Asymbekova, E., Shakhnazaryan, L., & Buziashvili, Y. (2021). An original method of pericardium closure after coronary artery bypass grafting. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 25(2), 95–101. https://doi.org/10.21688/1681-3472-2021-2-95-101

Copyright (c) 2021 Kvaratskheliya G.G., Golubev E.P., Avkhadov U.S., Ibragimov R.M., Rustamov B.E., Asymbekova E.U., Shakhnazaryan L.S., Buziashvili Yu.I.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Different cardiac surgery centres have different views regarding pericardial suturing. However, there is limited scientific evidence confirming the advantage of one method over another, which disallows us from forming a general opinion regarding specialists. Here, we describe several well-known methods of suturing the pericardium and preventing traumatisation of coronary bypass grafts and analyse their weaknesses. An original technique of opening and suturing the pericardium is proposed to restore the physiological distinction between the pericardial cavity and the anterior mediastinum during coronary artery bypass grafting without the risk of compromising the functioning coronary bypass grafts and narrow mediastinal syndrome.
The proposed method of suturing the pericardium received a patent for invention, No. 2733505, dated 2 October, 2020. In the A.N. Bakulev National Medical Research Center for Cardiovascular Surgery (Moscow, Russian Federation), this technique of suturing the pericardium has been routinely used since 2006. More than 2,000 intraoperative shunt scans have been performed in our department since 2009; all these scans were performed after the pericardium was closed, proving that the fear of compromising the shunts during pericardial suturing is unsupported.

Received 17 December 2020. Revised 13 January 2021. Accepted 18 January 2021.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Author contributions
Conception and study design: G.G. Kvaratskheliya, E.P. Golubev
Data collection and analysis: U.S. Avkhadov, R.M. Ibragimov
Drafting the article: G.G. Kvaratskheliya, E.P. Golubev
Critical revision of the article: E.U. Asymbekova, B.E. Rustamov, L.S. Shakhnazaryan, Yu.I. Buziashvili
Final approval of the version to be published: G.G. Kvaratskheliya, E.P. Golubev, U.S. Avkhadov, R.M. Ibragimov, B.E. Rustamov, E.U. Asymbekova, L.S. Shakhnazaryan, Yu.I. Buziashvili

 

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