PMID- 8600853
OWN - NLM
STAT- MEDLINE
DCOM- 19960426
LR  - 20121115
IS  - 0003-1348 (Print)
IS  - 0003-1348 (Linking)
VI  - 62
IP  - 4
DP  - 1996 Apr
TI  - Pericardiectomy for pericardial constriction.
PG  - 304-7
AB  - Constrictive pericarditis is a pathologic condition that may lead to significant 
      morbidity. Definitive management of constrictive pericarditis requires 
      pericardiectomy. A retrospective review of pericardiectomy for constrictive 
      pericarditis at the Ochsner Clinic was undertaken. Twenty-one patients (17 male, 
      four female) underwent pericardiectomy for constrictive pericarditis between 
      January 1969 and June 1994. Ages ranged from 15 to 66 years (mean 41.5 years). 
      Pedal edema, dyspnea, fatigue, and chest pain were the most common symptoms. 
      Fifteen patients had important comorbidities. Preoperative New York Heart 
      Association (NYHA) class was I (2), II (8), III (6), IV (5). Mean preoperative 
      catheterization data, available in 17 patients (81%), demonstrated elevated 
      intracardiac pressures (right atrial 17.4 mm Hg, right ventricular end-diastolic 
      22.4 mm Hg, pulmonary artery 26.2 mm Hg, pulmonary capillary wedge 20.2 mm Hg, 
      left ventricular end-diastolic 20.1 mm Hg). A total pericardiectomy was performed 
      in nine patients (sternotomy 8, thoracotomy 1). Pericardiectomy limited 
      anteriorly to the phrenic nerves was performed in 11 patients (sternotomy 9, 
      thoracotomy 2). One partial pericardiectomy was performed through a sternotomy. 
      Cardiopulmonary bypass was used in six patients (29%). Mean hospital stay was 12 
      days (preoperative 4.2, postoperative 7.67). All patients achieved NYHA Class I 
      postoperatively. Sixteen patients were discharged in sinus rhythm. No early 
      mortality (<30 days), or major postoperative complications were observed. 
      Pericardiectomy for pericardial constriction can be performed safely low 
      morbidity and mortality and can favorably impact the natural history of this 
      debilitating condition.
FAU - Trotter, M C
AU  - Trotter MC
AD  - Department of Surgery, Ochsner Clinic, New Orleans, Louisiana, 70121, USA.
FAU - Chung, K C
AU  - Chung KC
FAU - Ochsner, J L
AU  - Ochsner JL
FAU - McFadden, P M
AU  - McFadden PM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cardiac Catheterization
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pericardiectomy/*methods
MH  - Pericarditis, Constrictive/classification/complications/diagnosis/*surgery
MH  - Retrospective Studies
MH  - Severity of Illness Index
EDAT- 1996/04/01 00:00
MHDA- 1996/04/01 00:01
CRDT- 1996/04/01 00:00
PHST- 1996/04/01 00:00 [pubmed]
PHST- 1996/04/01 00:01 [medline]
PHST- 1996/04/01 00:00 [entrez]
PST - ppublish
SO  - Am Surg. 1996 Apr;62(4):304-7.