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Surgical management of constrictive pericarditis
M Tettey1, L Sereboe, E Aniteye
1National Cardiothoracic Centre, Korle Bu Teaching Hospital, P.O. Box 77, Korle Bu, Ghana.
Ghana Medical Journal
|May 10, 2008
Summary
Pericardiectomy effectively treats constrictive pericarditis, improving patients' functional capacity. Careful peri-operative care is crucial for reducing complications and mortality in this serious heart condition.
Area of Science:
- Cardiology
- Thoracic Surgery
- Internal Medicine
Background:
- Constrictive pericarditis involves pericardial thickening and scarring, leading to high morbidity and mortality without treatment.
- This condition necessitates effective surgical intervention to improve patient outcomes.
Purpose of the Study:
- To review the surgical management of constrictive pericarditis.
- To analyze postoperative challenges and outcomes following pericardiectomy.
Main Methods:
- A retrospective study of eleven patients who underwent pericardiectomy for constrictive pericarditis between 2000 and 2005.
- Data collection included operating theatre records, histopathology, and patient case notes.
Main Results:
- The study included patients aged 14-53, with 63.6% treated for pulmonary tuberculosis.
- Post-surgery, 63.6% of patients were off diuretics with no exercise intolerance.
- Two patients improved from NYHA class III to class I; one improved from class III to class II.
- No postoperative mortality was observed; one patient was lost to follow-up.
Conclusions:
- Pericardiectomy is a beneficial procedure for constrictive pericarditis, enhancing functional capacity.
- Intensive peri-operative monitoring and management are key to minimizing morbidity and mortality.
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