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Contemporary Techniques of Pericardiectomy for Pericardial Disease

Pouya Hemmati1, Kevin L Greason1, Hartzell V Schaff1

  • 1Department of Cardiovascular Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Cardiology Clinics
|October 14, 2017
PubMed

Insights

Pericardiectomy offers a cure for constrictive pericarditis. Outcomes depend on preoperative heart failure, cause of pericarditis, and extent of pericardial resection, with best results in idiopathic or post-cardiac surgery cases.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Cardiac Surgery

Background:

  • Constrictive pericarditis restricts heart function, necessitating surgical intervention.
  • Pericardiectomy aims to alleviate these restrictions by removing the pericardium.

Purpose of the Study:

  • To evaluate the long-term outcomes of pericardiectomy for constrictive pericarditis.
  • To identify factors influencing survival and success after pericardiectomy.

Main Methods:

  • Surgical approach: median sternotomy.
  • Resection strategy: removal of diaphragmatic and anterior pericardium.
  • Patient data analysis: correlation of preoperative and etiological factors with late outcomes.

Main Results:

  • Adequate pericardial resection is crucial for successful outcomes.
  • Excellent results observed in idiopathic and post-cardiac surgery constrictive pericarditis.
  • Reduced survival in radiation-induced cases due to radiation's systemic cardiac effects.

Conclusions:

  • Pericardiectomy is a viable curative option for constrictive pericarditis.
  • Preoperative conditions and pericarditis etiology significantly impact long-term prognosis.
  • Radiation-induced constrictive pericarditis carries a poorer survival outlook.

Keywords:
Constrictive pericarditisDiastolic heart failurePericardiectomy

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