PMID- 7858989
OWN - NLM
STAT- MEDLINE
DCOM- 19950322
LR  - 20061115
IS  - 0967-2109 (Print)
IS  - 0967-2109 (Linking)
VI  - 2
IP  - 6
DP  - 1994 Dec
TI  - Pericarditis: a persisting surgical problem.
PG  - 711-5
AB  - A study of pericarditis treated surgically over a period of 14.5 years was 
      conducted to evaluate the current pattern and management of this disease in a 
      tropical environment. The series comprised 86 patients (58 males and 28 females) 
      aged from 5 months to 60 years (mean 21.1 years). Pericarditis was effusive in 41 
      patients, calcific in 33 and fibrous in 12. Aetiological or associated factors 
      were non-specific, pyogenic infection, rheumatic heart disease, endomyocardial 
      fibrosis, tuberculosis and amoebiasis in 36, 21, eight, eight, six and four 
      patients, respectively. All the patients were in New York Heart Association 
      (NYHA) functional class III or IV. Operative treatment involved pericardiotomy 
      with tube drainage in 32 patients, pericardiectomy in 49, and pericardiotomy with 
      subsequent pericardiectomy in five. The total hospital mortality rate was 8.0%, 
      and was largely a result of severe pre-operative cardiac decompensation and 
      multiple organ failure. Of the 79 early survivors, 91% reverted to NYHA 
      functional class I or II. Surgical treatment remains the most effective 
      management of chronic pericarditis which still constitutes a major clinical 
      problem in some countries.
FAU - Anyanwu, C H
AU  - Anyanwu CH
AD  - Cardiothoracic Surgical Unit, University of Nigeria Teaching Hospital and Medical 
      College, Enugu.
FAU - Umeh, B U
AU  - Umeh BU
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Cardiovasc Surg
JT  - Cardiovascular surgery (London, England)
JID - 9308765
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Nigeria/epidemiology
MH  - Pericardiectomy
MH  - Pericarditis/diagnosis/etiology/mortality/*surgery
EDAT- 1994/12/01 00:00
MHDA- 1994/12/01 00:01
CRDT- 1994/12/01 00:00
PHST- 1994/12/01 00:00 [pubmed]
PHST- 1994/12/01 00:01 [medline]
PHST- 1994/12/01 00:00 [entrez]
PST - ppublish
SO  - Cardiovasc Surg. 1994 Dec;2(6):711-5.