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Long-term outcomes of pericardiectomy for constrictive pericarditis

Murat Biçer1, Bülent Özdemir2, İris Kan3

  • 1Department of Cardiovascular Surgery, Uludağ University Medical Faculty, Bursa, Turkey. mbicer23@yahoo.com.

Journal of Cardiothoracic Surgery
|November 29, 2015
PubMed

Insights

Pericardiectomy offers functional improvement for constrictive pericarditis patients, but carries significant risks. Long-term survival is achievable, though careful patient selection is crucial for better outcomes.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Research

Background:

  • Constrictive pericarditis involves chronic pericardial thickening, leading to disability.
  • Pericardiectomy is a surgical treatment option for this condition.

Purpose of the Study:

  • To evaluate the long-term outcomes of pericardiectomy for constrictive pericarditis.
  • Assess functional status, survival rates, and complications post-surgery.

Main Methods:

  • Retrospective analysis of 47 patients undergoing pericardiectomy (Sept 1992 - May 2014).
  • Collected and analyzed demographic, pre-, intra-, and postoperative data.
  • Long-term outcomes including survival and recurrence were tracked.

Main Results:

  • Tuberculosis was the most common etiology (46.8%).
  • 80% of patients showed functional status improvement (at least one NYHA class).
  • In-hospital mortality was 2.1%, with a late mortality of 23.4%. Actuarial survival at 1, 5, and 10 years was 91%, 85%, and 81% respectively. No recurrence requiring reoperation was observed.

Conclusions:

  • Pericardiectomy is linked to substantial morbidity and mortality.
  • Patients with malignancy, low cardiac output, or requiring reoperation face higher mortality and poorer functional recovery.
  • Careful patient selection is recommended for optimal pericardiectomy outcomes.
Abstract

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