PMID- 34326972 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210731 IS - 2008-5117 (Print) IS - 2008-6830 (Electronic) IS - 2008-5117 (Linking) VI - 13 IP - 2 DP - 2021 TI - Short term clinical and echocardiography outcomes of pericardiectomy in constrictive pericarditis. PG - 169-173 LID - 10.34172/jcvtr.2021.23 [doi] AB - Introduction: Tuberculous pericarditis continues to be a leading cause of chronic constrictive pericarditis (CCP) in developing countries. Echocardiography plays a key role in the assessment and diagnosis. Methods: Twelve patients who underwent pericardiectomy for CCP in last 18 months of the study period were subjected to clinical and New York Heart Association (NYHA) functional class assessment along with comprehensive echocardiographic evaluation. The data were compared with their preprocedural status. Results: Significant reduction was noted in the incidence of inferior vena cava (IVC) congestion(P < 0.001) and mean left atrial (LA) size from 43.75 +/- 4.43 mm to 31.58 +/- 3.03 mm (P < 0.001), post pericardiectomy.Respiratory variation of 34.17 +/- 8.76 % in the mitral E velocity was significantly reduced to 17 +/- 3.69 % (P < 0.001) after surgery. Similarly, respiratory variation in tricuspid E velocities showed significant reduction from 62.17 +/- 13.16 % to 32.58 +/- 4.7 % (P < 0.001).Prior to pericardiectomy, medial e' and lateral e' mitral annular velocities was 15.5+/-1.24 cm/sec and13.08 +/- 1.08 cm/sec, respectively. Following surgery, the medial e' and lateral e' was 12.5+/-1.17 cm/sec(P = 0.001) and 15.42+/-1.83 (P = 0.004), respectively. Conclusion: Echocardiography provides useful insight in pericardial constriction hemodynamics and worthwhile effects of pericardiectomy. CI - (c) 2021 The Author(s). FAU - Kumar, Madhur AU - Kumar M AUID- ORCID: 0000-0003-0693-5862 AD - Department of Cardiothoracic & Vascular Surgery Safdarjung Hospital & Vardhman Mahavir Medical College, New Delhi, India. FAU - Padhy, Ajit AU - Padhy A AUID- ORCID: 0000-0003-0263-2987 AD - Department of Cardiothoracic & Vascular Surgery Safdarjung Hospital & Vardhman Mahavir Medical College, New Delhi, India. FAU - Munjal, Ridhika AU - Munjal R AD - Department of Cardiothoracic & Vascular Surgery Safdarjung Hospital & Vardhman Mahavir Medical College, New Delhi, India. FAU - Gupta, Anubhav AU - Gupta A AD - Department of Cardiothoracic & Vascular Surgery Safdarjung Hospital & Vardhman Mahavir Medical College, New Delhi, India. LA - eng PT - Journal Article DEP - 20210426 PL - Iran TA - J Cardiovasc Thorac Res JT - Journal of cardiovascular and thoracic research JID - 101528712 PMC - PMC8302898 OTO - NOTNLM OT - Constrictive Pericarditis OT - Echocardiography OT - NYHA OT - Outcome OT - Pericardiectomy EDAT- 2021/07/31 06:00 MHDA- 2021/07/31 06:01 PMCR- 2021/01/01 CRDT- 2021/07/30 06:45 PHST- 2020/10/15 00:00 [received] PHST- 2021/01/25 00:00 [accepted] PHST- 2021/07/30 06:45 [entrez] PHST- 2021/07/31 06:00 [pubmed] PHST- 2021/07/31 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.34172/jcvtr.2021.23 [doi] PST - ppublish SO - J Cardiovasc Thorac Res. 2021;13(2):169-173. doi: 10.34172/jcvtr.2021.23. Epub 2021 Apr 26.