Perioperative histologic and ultrastructural changes in the pericardium and adhesions.

@article{Nkere1994PerioperativeHA,
  title={Perioperative histologic and ultrastructural changes in the pericardium and adhesions.},
  author={Udim U Nkere and Simon A Whawell and Catherine E Sarraf and John B. Schofield and Jeremy N Thompson and K. M. Taylor},
  journal={The Annals of thoracic surgery},
  year={1994},
  volume={58 2},
  pages={437-44}
}
The presence of pericardial adhesions prolongs the operation time and increases the risk of serious damage to the heart and other major vascular structures during resternotomy. The reported incidence of such damage is 2% to 6%. Pericardial mesothelial cells exhibit fibrinolytic activity, and therefore have an actual or potential role in the breakdown of the fibrinous adhesions that serve as the initial scaffolding for the firm collagenous adhesions seen at reoperation. Ten patients undergoing… CONTINUE READING