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Related Experiment Videos

Pericardiectomy: a changing scene.

J M Robertson, D G Mulder

    American Journal of Surgery
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Pericardiectomy is an effective treatment for pericardial disease, with 90% of survivors experiencing excellent long-term results. Surgical techniques vary based on whether the condition is effusive or constrictive pericarditis.

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    Area of Science:

    • Cardiology
    • Thoracic Surgery
    • Oncology

    Background:

    • Indications and causes of pericardiectomy have evolved.
    • A review of 68 patients undergoing pericardiectomy at UCLA Medical Center from 1955 to 1982.
    • Analysis of patient demographics, operative indications, and etiologies of pericardial disease.

    Purpose of the Study:

    • To describe changes in pericardiectomy indications and causes.
    • To evaluate the surgical approach and outcomes for pericardiectomy.
    • To provide recommendations for surgical techniques in effusive and constrictive pericarditis.

    Main Methods:

    • Retrospective review of 68 patients who underwent pericardiectomy.
    • Classification of indications (acute pericarditis vs. chronic constrictive pericarditis).

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  • Identification of etiological factors including tumor, idiopathic, uremic, viral, tuberculous, and rheumatologic causes.

    • Main Results:

    • Tumor was the most frequent cause of pericardial disease (20 patients).
    • Pericardiectomy was predominantly performed via left anterolateral thoracotomy without cardiopulmonary bypass.
    • 90% of operative survivors achieved excellent long-term results.

    Conclusions:

    • Wide anterior pericardial excision is recommended for effusive pericarditis.
    • Extensive resection of anterior and posterior pericardium is advised for chronic constrictive disease.
    • Pericardiectomy demonstrates high efficacy in managing pericardial disease.