Related Experiment Videos
[Surgical treatment of constrictive pericarditis in 162 cases]
Insights
Surgical treatment for constrictive pericarditis, involving pericardial decortication, improved cardiac function in most patients. Careful perioperative management is crucial to prevent early postoperative low cardiac output syndrome.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pericardial Diseases
Context:
- Constrictive pericarditis significantly impairs cardiac function and hemodynamics.
- Surgical pericardial decortication is a primary treatment modality.
- Limited data exists on surgical outcomes and management strategies.
Purpose:
- To report the surgical experience and outcomes of constrictive pericarditis treatment.
- To identify factors influencing surgical success and mortality.
- To provide recommendations for perioperative management.
Summary:
- This study analyzed 162 cases of surgical treatment for constrictive pericarditis.
- Patients aged 6-66 underwent pericardial decortication, showing improved cardiac function and hemodynamics.
- The overall surgical mortality rate was 3.1%, with low cardiac output syndrome as the main cause of death.
Impact:
- Surgical decortication effectively improves cardiac function in constrictive pericarditis.
- Optimal perioperative management, including rational pharmacotherapy, is vital for reducing mortality.
- A left-to-right surgical approach may optimize pericardium excision.
Abstract:
The authors reports the experience of surgical treatment of constrictive pericarditis in 162 cases. Age ranged from 6 to 66 years old. The cardiac function and circulatory dynamics were improved after decortication of the thickened pericardium in most of the patients. Overall surgical mortality was 3.1%. The major cause of death was low cardiac output syndrome in the early postoperative period. The authors consider that the excision of the thickened pericardium is better to begin from the left to right and the good perioperative management particularly the rational agents is essential in the prevention of low cardiac output syndrome.