PMID- 22740731
OWN - NLM
STAT- MEDLINE
DCOM- 20121119
LR  - 20220321
IS  - 1526-6702 (Electronic)
IS  - 0730-2347 (Print)
IS  - 0730-2347 (Linking)
VI  - 39
IP  - 2
DP  - 2012
TI  - Constrictive pericarditis treated by surgery.
PG  - 199-205
AB  - We reviewed the records of 45 patients (mean age, 46.6 +/- 14.9 yr; range, 21-84 
      yr) with a diagnosis of constrictive pericarditis who had undergone 
      pericardiectomy from 1994 through 2006. Preoperatively, 2 of the patients (4.4%) 
      were in New York Heart Association (NYHA) functional class I, 20 (44.4%) in class 
      II, 22 (48.9%) in class III, and 1 (2.2%) in class IV. Pericardial calcification 
      was detected in 20% of plain chest radiographs. Constrictive pericarditis was 
      caused by tuberculosis in 22.2%, chronic renal failure in 8.9%, a history of 
      sternotomy in 4.4%, and malignancy in 4.4%. The cause was idiopathic in 60% of 
      the patients. Low-output state was the most common postoperative problem (22.2%). 
      The mean follow-up period was 40 +/- 18 months (range, 3-144 mo). Three months 
      postoperatively, only 1 of 43 available patients (2.3%) was in NYHA class III, 
      while the rest were in class I (36 patients; 83.7%) or II (6 patients; 14%). The 
      overall mortality rate was 4.4%: 1 patient with tuberculosis died of respiratory 
      insufficiency while hospitalized, and 1 died of metastatic adenocarcinoma during 
      follow-up. Our results show that pericardiectomy remains an effective procedure 
      in the treatment of constrictive pericarditis. Tuberculosis is still an important 
      cause of constrictive pericarditis in Iran, despite intensive vaccination and use 
      of antitubercular drugs.
FAU - Ghavidel, Alireza A
AU  - Ghavidel AA
AD  - Department of Cardiovascular Surgery, Rajaee Cardiovascular Medical Research 
      Center, Tehran University of Medical Science, 1996911151 Tehran, Iran. 
      aaghavidel@yahoo.com
FAU - Gholampour, Maziar
AU  - Gholampour M
FAU - Kyavar, Majid
AU  - Kyavar M
FAU - Mirmesdagh, Yalda
AU  - Mirmesdagh Y
FAU - Tabatabaie, Mohammad-Bagher
AU  - Tabatabaie MB
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Tex Heart Inst J
JT  - Texas Heart Institute journal
JID - 8214622
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Heart Failure/etiology/surgery
MH  - Hospital Mortality
MH  - Humans
MH  - Iran
MH  - Kidney Failure, Chronic/complications
MH  - Male
MH  - Middle Aged
MH  - Neoplasms/complications
MH  - *Pericardiectomy/adverse effects/mortality
MH  - Pericarditis, Constrictive/diagnosis/etiology/mortality/*surgery
MH  - Pericarditis, Tuberculous/complications/surgery
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sternotomy/adverse effects
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC3384050
OTO - NOTNLM
OT  - Calcinosis
OT  - heart failure
OT  - low-output syndrome
OT  - pericardial effusion
OT  - pericardiectomy
OT  - pericarditis, constrictive/complications/surgery
OT  - pericarditis, tubercular/surgery
OT  - recovery of function
OT  - retrospective studies
OT  - treatment outcome
EDAT- 2012/06/29 06:00
MHDA- 2012/12/10 06:00
PMCR- 2012/01/01
CRDT- 2012/06/29 06:00
PHST- 2012/06/29 06:00 [entrez]
PHST- 2012/06/29 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
PHST- 2012/01/01 00:00 [pmc-release]
AID - 0010801-201204000-00007 [pii]
PST - ppublish
SO  - Tex Heart Inst J. 2012;39(2):199-205.