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Başlık: Long-term outcomes of pericardiectomy for constrictive pericarditis
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Kalp ve Damar Cerrahisi Anabilim Dalı.
Biçer, Murat
Özdemir, Bülent
Kan, İris
Yüksel, Ahmet
Tok, Mustafa
Şenkaya, Işık
ABC-2231-2020
JHE-3353-2023
ILR-1735-2023
JGR-2092-2023
ECM-1587-2022
DTC-2331-2022
6507770944
7004168959
7004267827
56985589300
6506976035
6603498369
Anahtar kelimeler: Cardiovascular system & cardiology
Surgery
Constrictive pericarditis
Pericardiectomy
Postoperative results
Experience
Etiology
Spectrum
Yayın Tarihi: 27-Kas-2015
Yayıncı: BMC
Atıf: Biçer, M. vd. (2015). "Long-term outcomes of pericardiectomy for constrictive pericarditis". Journal of Cardiothoracic Surgery, 10(1).
Özet: Background: Constrictive pericarditis is a rare and disabling disease that can result in chronic fibrous thickening of the pericardium. The purpose of this study was to evaluate the long-term outcomes following treatment of constrictive pericarditis by pericardiectomy. Methods: Between September 1992 and May 2014, 47 patients who underwent pericardiectomy for constrictive pericarditis were retrospectively examined. Demographic, pre-, intra- and postoperative data and long-term outcomes were analyzed. Results: Thirty of the patients were male, the mean age was 45.8 +/- 16.7. Aetiology of constrictive pericarditis was tuberculosis in 22 (46.8 %) patients, idiopathic in 15 (31.9 %), malignancy in 3 (6.4 %), prior cardiac surgery in 2 (4.3 %), non-tuberculosis bacterial infections in 2 (4.3 %), radiotherapy in 1 (2.1 %), uraemia in 1 (2.1 %) and post-traumatic in 1 (2.1 %). The surgical approach was achieved via a median sternotomy in all patients except only 1 patient. The mean operative time was 156.4 +/- 45.7 min. Improvement in functional status in 80 % of patients' at least one New York Heart Association (NYHA) functional class was observed. In-hospital mortality rate was 2.1 % (1 of 47 patients). The cause of death was pneumonia leading to progressive respiratory failure. The late mortality rate was 23.4 % (11 of 47 patients). The mean follow-up time was 61.2 +/- 66 months. The actuarial survival rates were 91 %, 85 % and 81 % at 1, 5 and 10 years, respectively. Recurrence requiring a repeat pericardiectomy was developed in no patient during follow-up. Conclusion: Pericardiectomy is associated with high morbidity and mortality rates. Cases with neoplastic diseases, diminished cardiac output, cases in need of reoperation are expected to have high mortality rates and less chance of functional recovery.
URI: https://doi.org/10.1186/s13019-015-0385-8
https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-015-0385-8
http://hdl.handle.net/11452/34744
ISSN: 1749-8090
Koleksiyonlarda Görünür:Web of Science

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