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[Constrictive pericarditis--surgery with or without heart-lung machine?]
F W Hehrlein1, W A Stertmann, M Roth
1Klinik für Herz- und Gefässchirurgie, Giessen.
Abstract:
In patients suffering from constrictive pericarditis, the best hemodynamic results can be achieved by total mobilization of the heart and complete resection of the pericardium. Among 72 patients operated upon from 1969 to 1991, the use of extracorporeal circulation became necessary only twice. Therefore, we suggest the use of heart lung machine only in patients with bad myocardial function or in patients who need correction of additional diseases. Routine use of extracorporeal circulation is not mandatory.