Pericardiectomy: Current Indications, Concepts, and Results in a University Center

During a 7½-year period, 102 patients underwent pericardiectomy in the Emory University Affiliated Hospitals for a wide variety of pericardial disease. Seventy-six patients had predominantly effusive pericardial disease, and 26 patients had constrictive pericarditis. Nineteen cases of constrictive p...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 34; no. 1; pp. 40 - 45
Main Authors Miller, J.I., Mansour, K.A., Hatcher, C.R.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.07.1982
Subjects
Heart Neoplasms - surgery
Humans
Methods
Pericardial Effusion - surgery
Pericarditis - surgery
Pericarditis, Constrictive - surgery
Pericarditis, Tuberculous - surgery
Pericardium - surgery
Postoperative Care
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Summary:During a 7½-year period, 102 patients underwent pericardiectomy in the Emory University Affiliated Hospitals for a wide variety of pericardial disease. Seventy-six patients had predominantly effusive pericardial disease, and 26 patients had constrictive pericarditis. Nineteen cases of constrictive pericarditis developed in patients who had undergone previous open-heart operations. Hospital mortality at six weeks was 8.8%. The surgical approach was a left anterior thoracotomy in 72 patients; median sternotomy in 26 patients; and a subxiphoid approach in 4 patients. Only 2 patients required cardiopulmonary bypass. A detailed discussion of each subgroup of patients with pericardial disease requiring pericardiectomy is given.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(10)60850-8