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Radical Pericardiectomy for Pericardial Diseases
Shinya Unai1, Douglas R Johnston2
1Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue/Desk J4-1, Cleveland, OH, 44195, USA.
Current Cardiology Reports
|February 13, 2019
Summary
Radical pericardiectomy, a complete removal of the pericardium, offers superior survival and functional outcomes for constrictive pericarditis patients compared to partial resection. This surgical approach is refined in experienced centers.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Reviews
Background:
- Constrictive pericarditis management has evolved from partial pericardiectomy to more extensive pericardial removal.
- Surgical techniques for pericardial disease are continually refined.
Purpose of the Study:
- To review published studies on the surgical management of pericardial disease.
- To focus on radical pericardiectomy techniques for constrictive pericarditis.
Main Methods:
- Review of published studies on surgical pericardiectomy.
- Analysis of outcomes associated with different pericardiectomy approaches.
Main Results:
- Complete pericardiectomy, particularly using cardiopulmonary bypass, shows superior survival and functional outcomes.
- Partial pericardiectomy may lead to progressive constriction, necessitating completion surgery.
- Outcomes improve with patient selection, pre/postoperative care, and surgical technique refinement.
Conclusions:
- Radical pericardiectomy is the preferred surgical approach for constrictive pericarditis.
- Experienced centers achieve improved outcomes through meticulous patient management and surgical expertise.
Keywords:
Cardiac surgeryCardiopulmonary bypassConstrictive pericarditisPericardiectomyRecurrent pericarditisMore Related Videos
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