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Surgical Management of Pericardial Diseases

Douglas R Johnston1

  • 1Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH.

Progress in Cardiovascular Diseases
|February 20, 2017
PubMed

Insights

Surgical management of pericardial diseases, including pericardiectomy for constriction and inflammatory pericarditis, is evolving. Refined techniques and planning have significantly improved outcomes in experienced centers.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Thoracic Surgery

Background:

  • Pericardial disease is a rare cause for cardiac surgery, lacking established guidelines.
  • Surgical approaches are based on institutional experience and limited studies.
  • Management of pericardial constriction varies due to perceived high risks.

Purpose of the Study:

  • To review current surgical practices for pericardial disease.
  • To highlight the evolution of pericardiectomy indications.
  • To discuss new applications for inflammatory/relapsing pericarditis.

Main Methods:

  • Review of current literature and surgical practices.
  • Analysis of historical trends in pericardiectomy.
  • Examination of advancements in surgical techniques and planning.

Main Results:

  • Surgical management of pericardial disease has progressed significantly.
  • Indications for pericardiectomy have evolved.
  • Improved outcomes are noted in experienced centers due to refined techniques.

Conclusions:

  • Surgical treatment for pericardial disease is advancing.
  • Refined surgical techniques and planning enhance patient outcomes.
  • Further research and guideline development are warranted.

Keywords:
Cardiac SurgeryOutcomesPericardial constrictionPericardial windowPericardiectomyPericarditis

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