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Related Experiment Videos

Current indications, risks, and outcome after pericardiectomy.

P A DeValeria1, W A Baumgartner, A S Casale

  • 1Johns Hopkins Medical Institutions, Baltimore, Maryland.

The Annals of Thoracic Surgery
|August 11, 1991
PubMed
Summary
This summary is machine-generated.

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Pericardiectomy offers low mortality and good long-term survival for patients with pericardial effusion or constriction. This surgery effectively relieves symptoms, especially pain, in patients unresponsive to medical treatment.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Surgery

Background:

  • Pericardiectomy is a surgical procedure to remove part or all of the pericardium.
  • Indications include pericardial effusion and constriction, with varying outcomes.
  • Previous limited pericardial procedures may necessitate formal pericardiectomy.

Purpose of the Study:

  • To evaluate the outcomes of pericardiectomy for effusive and constrictive pericardial disease.
  • To identify predictors of survival after pericardiectomy.
  • To assess the efficacy of pericardiectomy in relieving symptoms, particularly pain.

Main Methods:

  • Retrospective analysis of 60 patients undergoing pericardiectomy between 1980 and 1990.
  • Data collected on indications, operative approach, mortality, and follow-up.

Related Experiment Videos

  • Cox proportional hazards regression analysis used to identify survival predictors.

    • Main Results:

    • Operative mortality was 4.2% for effusion and 5.6% for constriction.
    • Actuarial survival at 10 years was 59.8%.
    • History of malignancy, prior pericardial procedure, and NYHA class IV predicted poor survival.
    • All patients operated on for effusion with pain were alive with improved function.

    Conclusions:

    • Pericardiectomy is associated with low mortality and good long-term survival.
    • The procedure improves functional capacity and relieves symptoms, especially refractory pain.
    • Predictors of poor survival include malignancy, prior surgery, and advanced heart failure class.