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Published on: August 16, 2021
[Urgent pericardiectomy, 15 cases (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1981
Summary
Emergency surgery for pericarditis with tamponade, including pericardiectomy and pericardiotomy, showed good results in most cases. However, conservative approaches may be insufficient for radical cure, with potential for post-operative complications.
Area of Science:
- Cardiovascular Surgery
- Thoracic Medicine
- Emergency Medicine
Context:
- This study reviews 15 emergency cases of pericarditis with cardiac tamponade treated at Cho Ray Hospital between 1976 and 1979.
- Etiologies included metastatic tumors (5), suppurative pericarditis (7), hemopericardium (1), rheumatic fever (1), and tuberculosis (1).
Purpose:
- To evaluate the outcomes of emergency surgical interventions for pericarditis with tamponade.
- To compare the effectiveness of different surgical approaches: pericardiectomy, pericardiotomy, and pericardial puncture.
Summary:
- Eleven patients underwent urgent pericardiectomy, three had pericardiotomy, and one had repeated pericardial punctures.
- Pericardiectomy was later required in one case due to constrictive pericarditis and cardiac failure.
- Good results were observed in 11 patients; however, three cancer patients died from disseminated disease, and one with suppurative pericarditis died from respiratory insufficiency.
Impact:
- The findings suggest that conservative surgical management may not be sufficient for a radical cure of pericarditis with tamponade.
- Aggressive surgical intervention, such as pericardiectomy, appears necessary, though post-operative complications are a concern.
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