Cardiopericardiopexy

Cardiopericardiopexy: history and description of the procedure

Cardiopericardiopexy is a surgical procedure that is used to reattach the heart to the pericardium (the outer lining of the heart). This procedure was first described in the early 20th century and has been used to treat various heart conditions such as pericarditis and cardiomegaly.

During cardiopericardiopexy, the surgeon makes a small incision in the chest to gain access to the heart. He then separates the heart from the surrounding tissue and attaches it to the pericardium using special sutures or other means of attachment.

The procedure of cardiopericardiopexy may be recommended for patients with heart conditions that cause the heart to move excessively in the chest cavity. This can happen, for example, when the heart enlarges (cardiomegaly), when the heart becomes too large for its place in the chest cavity. Cardiopericardiopexy helps reduce heart movement and improve heart function.

Additionally, cardiopericardiopexy may be used to treat pericarditis, an inflammation of the pericardium, the lining that surrounds the heart. With pericarditis, the pericardium can become hard and restrict the movement of the heart, causing pain and discomfort. Cardiopericardiopexy reattaches the heart to the pericardium, which improves function and reduces pain.

Although cardiopericardiopexy can be an effective procedure for treating some heart conditions, it can also be associated with certain risks, including bleeding, infection, and damage to the heart or surrounding tissue. Therefore, as with any surgical procedure, patients should carefully discuss the pros and cons of the procedure with their doctor before deciding to undergo it.

Overall, cardiopericardiopexy is a major surgical procedure that can help patients with heart conditions that cause the heart to move excessively in the chest cavity. However, you should carefully discuss the pros and cons with your doctor before undergoing this procedure.

Cardiopericardiopexy is a conservative surgical intervention aimed at preserving the myocardial structure in conditions of deep sclerotic or necrotic lesions. Cardiopericardiopexy is used in cases of concomitant deep lesions of both the coronary arteries and the pericardium. Cardioperi-cardio-pexy is an operation to preserve the coronary bed in case of irreversible myocardial ischemia. The technique of the operation consists of pericardial puncture and drainage of the contents, followed by coronary artery bypass grafting. In this case, subcutaneous administration of glucose, histamine or adrenaline is used to enhance collateral circulation and resorption of sclerotic foci. Depending on the location and degree of myocardial damage, surgery can be performed on isolated areas of the heart muscle or on the entire pericardial space. The operation is performed under artificial circulation using the method of subepicardial puncture and expansion of the retrosternal space. The patient is positioned sitting, the lower limb is placed on the table, and when pressing with the fingers in the area of ​​the heart, a retrocardial pocket is formed from which the pericardium is sometimes punctured. This allows a thin catheter (venous) to be inserted into the heart, which is passed along the length of the heart. After this, the heart muscle undergoes a dosed puncture, which leads to an increase in the size of the epicardium with the capture of the affected myocardium. Then the edges of the fibrous membrane are spread apart. Along the course of the dissection, nutrient, oxygen, bubble or alcohol solutions are applied to the organs or vessels. Resorption of fibrinous plaques and the trophic granulomatous process can often be achieved only after lymphaspiration in the periphery.