PMID- 33912311
OWN - NLM
STAT- MEDLINE
DCOM- 20210504
LR  - 20210504
IS  - 1937-8688 (Electronic)
VI  - 38
DP  - 2021
TI  - Constrictive pericarditis: 21 years' experience and review of literature.
PG  - 141
LID - 10.11604/pamj.2021.38.141.22884 [doi]
LID - 141
AB  - To the best of our knowledge there are no publications about Tunisian experience 
      in constrictive pericarditis (CP); the aim of this study was therefore to review 
      our twenty-one years' experience in terms of clinical and surgical outcomes and 
      risk factors of death after pericardiectomy. An analytic bicentric and 
      retrospective study carried out on 25 patients (20 male) with CP underwent 
      pericardiectomy, collected over a 21-years period. The mean age was 40.46+/-16.74 
      years [7.5-72]. The commonest comorbid factor was tabagism (52%). The most common 
      etiology was tuberculosis (n = 11, 44%). Dyspnea was the most common functional 
      symptom (n = 21, 84%). Pericardiectomy was performed in all our patients within 
      2.9+/-3.19 months after confirmation of diagnosis. It was subtotal in 96% of cases. 
      The commonest postoperative complications are pleural effusion (20%). Dyspnea was 
      regressed within 1.8 months in 80% of cases and clinical signs of right heart 
      failure within a mean duration of 1.62 months in 53% of cases. Perioperative 
      mortality was 12% (3 deaths), late mortality was 4% (1 patient). Cardiopulmonary 
      bypass, New York Heart Association (NYHA) over class II and right ventricular 
      dysfunction are the prognostic factors of mortality (p = 0.001, 0.046, 0.019). 
      Tuberculosis as etiology of CP had no impact on mortality. CP is a rare disease, 
      with non-specific clinical signs. Pericardiectomy is effective with a significant 
      improvement of the functional status of patients and favorable outcome at short 
      and long term nevertheless hospital mortality is not negligible and depends on 
      many factors.
CI  - Copyright: Taamallah Karima et al.
FAU - Karima, Taamallah
AU  - Karima T
AD  - Department of Cardiac Surgery, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Nesrine, Ben Zaied
AU  - Nesrine BZ
AD  - Department of Cardiac Surgery, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Hatem, Lahdhili
AU  - Hatem L
AD  - Department of Cardiac Surgery, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Skander, Ben Omrane
AU  - Skander BO
AD  - Department of Cardiac Surgery, La Rabta Hospital, Tunis, Tunisia.
FAU - Raouf, Denguir
AU  - Raouf D
AD  - Department of Cardiac Surgery, La Rabta Hospital, Tunis, Tunisia.
FAU - Selim, Chenik
AU  - Selim C
AD  - Department of Cardiac Surgery, Military Hospital of Tunis, Tunis, Tunisia.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20210208
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Cardiopulmonary Bypass/adverse effects/methods
MH  - Child
MH  - Female
MH  - *Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pericardiectomy/adverse effects/*methods
MH  - Pericarditis, Constrictive/mortality/physiopathology/*surgery
MH  - Postoperative Complications/*epidemiology/mortality
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Tunisia
MH  - Young Adult
PMC - PMC8052615
OTO - NOTNLM
OT  - Constrictive pericarditis
OT  - echocardiography
OT  - pericardiotomy
OT  - prognosis
OT  - tuberculosis
COIS- The authors declare no competing interests.
EDAT- 2021/04/30 06:00
MHDA- 2021/05/05 06:00
PMCR- 2021/02/08
CRDT- 2021/04/29 06:27
PHST- 2020/04/16 00:00 [received]
PHST- 2020/04/26 00:00 [accepted]
PHST- 2021/04/29 06:27 [entrez]
PHST- 2021/04/30 06:00 [pubmed]
PHST- 2021/05/05 06:00 [medline]
PHST- 2021/02/08 00:00 [pmc-release]
AID - PAMJ-38-141 [pii]
AID - 10.11604/pamj.2021.38.141.22884 [doi]
PST - epublish
SO  - Pan Afr Med J. 2021 Feb 8;38:141. doi: 10.11604/pamj.2021.38.141.22884. 
      eCollection 2021.