PMID- 29761570
OWN - NLM
STAT- MEDLINE
DCOM- 20180810
LR  - 20180810
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 33
IP  - 6
DP  - 2018 Jun
TI  - Radical pericardiectomy for chronic constrictive pericarditis.
PG  - 301-307
LID - 10.1111/jocs.13715 [doi]
AB  - BACKGROUND: We studied the impact of radical pericardiectomy on early and 
      long-term patient survival, postoperative New York Heart Association (NYHA) 
      functional class, and left ventricular ejection fraction in patients with chronic 
      constrictive pericarditis compared to a sub-total pericardiectomy. METHODS: From 
      1991 to 2016, 41 patients underwent pericardiectomy for chronic constrictive 
      pericarditis. Sub-total pericardiectomy was performed in 17 (41%) and radical 
      pericardiectomy in 24 (59%) patients. Patients in the two study groups had 
      statistically similar NYHA functional class, left ventricular ejection fraction, 
      and cardiac catheterization data. Follow-up was 100% complete with a median time 
      of 4 years. RESULTS: Radical pericardiectomy resulted in increased survival rates 
      at 10 years (94%) compared to sub-total pericardiectomy (55%) (P = 0.014). In the 
      idiopathic chronic constrictive pericarditis sub-group, long-term survival rates 
      were also increased after a radical pericardiectomy (P = 0.001). Eighty-five 
      percent of patients after a radical pericardiectomy were in NYHA functional class 
      I or II after 5 years and 94% up to 25 years versus 53% and 63%, respectively, 
      for the sub-total pericardiectomy group. CONCLUSIONS: Radical pericardiectomy 
      provided superior 10-year survival and clinical functional improvement in 
      patients with chronic constrictive pericarditis compared to sub-total 
      pericaridectomy.
CI  - (c) 2018 Wiley Periodicals, Inc.
FAU - Nozohoor, Shahab
AU  - Nozohoor S
AUID- ORCID: 0000-0002-5786-864X
AD  - Department of Cardiothoracic Surgery, Skane University Hospital, Clinical 
      Sciences, Lund University, Lund, Sweden.
FAU - Johansson, Maria
AU  - Johansson M
AD  - Department of Cardiothoracic Surgery, Skane University Hospital, Clinical 
      Sciences, Lund University, Lund, Sweden.
FAU - Koul, Bansi
AU  - Koul B
AD  - Department of Cardiothoracic Surgery, Skane University Hospital, Clinical 
      Sciences, Lund University, Lund, Sweden.
FAU - Cunha-Goncalves, Doris
AU  - Cunha-Goncalves D
AD  - Department of Cardiothoracic Surgery, Skane University Hospital, Clinical 
      Sciences, Lund University, Lund, Sweden.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20180514
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiac Catheterization
MH  - Chronic Disease
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pericardiectomy/*methods/mortality
MH  - Pericarditis, Constrictive/classification/physiopathology/*surgery
MH  - Stroke Volume
MH  - Survival Rate
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - cardiac function
OT  - cardiac reoperation
OT  - outcomes
OT  - pericardium
EDAT- 2018/05/16 06:00
MHDA- 2018/08/11 06:00
CRDT- 2018/05/16 06:00
PHST- 2018/05/16 06:00 [pubmed]
PHST- 2018/08/11 06:00 [medline]
PHST- 2018/05/16 06:00 [entrez]
AID - 10.1111/jocs.13715 [doi]
PST - ppublish
SO  - J Card Surg. 2018 Jun;33(6):301-307. doi: 10.1111/jocs.13715. Epub 2018 May 14.