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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2017

Open Access 01-12-2017 | Commentary

The Zamvar pericardial fold

Author: Vipin Zamvar

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

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Abstract

This paper describes a pericardial fold that has not yet been mentioned in the Anatomy or Surgery literature.
The “Zamvar” pericardial fold is formed by the parietal pericardium and the overlying fibrous pericardium folding back onto themselves over the left-sided pulmonary veins; it is 1 to 3 mm wide, and runs from the inferior edge of the left inferior pulmonary vein, to the superior edge of the left superior pulmonary vein. A similar fold is not seen on the right side.
The presence of this fold allows for the safe placement of the deep pericardial retraction suture used during off-pump coronary artery surgery.
Literature
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Standring S, Tunstall R. Heart. In Gray’s Anatomy The Anatomical Basis of Clinical Practice. 41st Edition. London: Elsevier; 2016. p. 994–5.
2.
Lima RC, Escobar M, Wanderley Neto J, et al. Revascularizacao do miocardio sem circulacao extracorporeal: resultados imediatos. Rev Bras Cir Cardiovasc. 1993;8:171–6.CrossRef
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Niinami H, Koyanagi H, Brady PW, Ross DE. The heart string: a simple, inexpensive exposure of the heart during coronary artery operations. Ann Thorac Surg. 2000;69:1280–1.CrossRefPubMed
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Baumgartner FJ, Gheissari A, Capouya ER, Panagiotides GP, Katouzian A, Yokoyama T. Technical aspects of total revascularization in off-pump coronary bypass via sternotomy approach. Ann Thorac Surg. 1999;67:1653–8.CrossRefPubMed
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Bergsland J, Karamanoukian HL, Saltoski PR, Salerno TA. “Single suture” for circumflex exposure in off-pump coronary artery bypass grafting. Ann Thorac Surg. 1999;68:1428–30.CrossRefPubMed
6.
Lima RDC. Some technical considerations on the prevention of bleeding caused by sutures in the posterior pericardium in off-pump coronary artery bypass operations. Ann Thorac Surg. 2004;78:1130–4.CrossRef
Metadata
Title
The Zamvar pericardial fold
Author
Vipin Zamvar
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-017-0641-1

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