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Right Pleuropericardial Release: a Useful Technique in Off-Pump Coronary Surgery

Department of Cardiac Surgery
¹ Department of Anaesthesia, Wessex Cardiothoracic Centre, Southampton General Hospital, Southampton, UK

For reprint information contact: Theodore Velissaris, AFRCS Tel: 44 23 8079 6233 Fax: 44 23 8079 8508 email: theo{at}velissaris.com Wessex Cardiothoracic Centre, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK.

We describe the use of right pleurotomy combined with right pericardial release during off-pump coronary surgery. The maneuver releases the compression exerted on the right cardiac chambers during cardiac verticalization and improves hemodynamic stability during exposure of the posterior or lateral coronary vessels.