LONG-TERM EXPERIENCE WITH PERICARDIECTOMY - ANALYSIS OF 105 CONSECUTIVE PATIENTS

ARSAN S., MERCAN S., SARIGUL A., ATASOY S., DEMIRCIN M., DOGAN R., ...More

THORACIC AND CARDIOVASCULAR SURGEON, vol.42, no.6, pp.340-344, 1994 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 42 Issue: 6
  • Publication Date: 1994
  • Doi Number: 10.1055/s-2007-1016519
  • Journal Name: THORACIC AND CARDIOVASCULAR SURGEON
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.340-344
  • Keywords: CONSTRICTIVE PERICARDITIS, EFFUSIVE PERICARDITIS, PERICARDIECTOMY, CARDIOPULMONARY BYPASS, CONSTRICTIVE PERICARDITIS, RESECTION, EFFUSION, DISEASE, SURGERY
  • Hacettepe University Affiliated: Yes

Abstract

A retrospective analysis of the records of 105 patients who underwent pericardiectomy from 1983 to 1993 was performed. Primarily, 40 patients (38 %) had tuberculosis, 16 patients (15 %) a malignancy, 12 patients (11.4 %) uremia, and 11 patients (10.5 %) had rheumatic disorders. Pericardiectomy was performed through midline sternotomy in all cases, 9 of them required cardiopulmonary bypass. On operation, the anterior pericardium was excised parallel to the phrenic nerves on both side. The early mortality rate was 10.5 % (11 patients). Mean follow-up time was 5.8 +/- 2.1 years, ranging from 1 year to 11 years. Actuarial survival of the patients at 1 year and 5 years were 81.1 % +/- 6.8 % and 63.5 % +/- 8.2 %, respectively. We conclude that pericardiectomy using midline sternotomy with or without cardiopulmonary bypass can be performed safely and can lead to good functional results and long-term survival.