Radical pericardiectomy for chronic constrictive pericarditis
(2018) In Journal of Cardiac Surgery 33(6). p.301-307- Abstract
Background: We studied the impact of radical pericardiectomy on early and long-term patient survival, postoperative New York Heart Association (NYHA) functional class, and left ventricular ejection fraction in patients with chronic constrictive pericarditis compared to a sub-total pericardiectomy. Methods: From 1991 to 2016, 41 patients underwent pericardiectomy for chronic constrictive pericarditis. Sub-total pericardiectomy was performed in 17 (41%) and radical pericardiectomy in 24 (59%) patients. Patients in the two study groups had statistically similar NYHA functional class, left ventricular ejection fraction, and cardiac catheterization data. Follow-up was 100% complete with a median time of 4 years. Results: Radical... (More)
Background: We studied the impact of radical pericardiectomy on early and long-term patient survival, postoperative New York Heart Association (NYHA) functional class, and left ventricular ejection fraction in patients with chronic constrictive pericarditis compared to a sub-total pericardiectomy. Methods: From 1991 to 2016, 41 patients underwent pericardiectomy for chronic constrictive pericarditis. Sub-total pericardiectomy was performed in 17 (41%) and radical pericardiectomy in 24 (59%) patients. Patients in the two study groups had statistically similar NYHA functional class, left ventricular ejection fraction, and cardiac catheterization data. Follow-up was 100% complete with a median time of 4 years. Results: Radical pericardiectomy resulted in increased survival rates at 10 years (94%) compared to sub-total pericardiectomy (55%) (P = 0.014). In the idiopathic chronic constrictive pericarditis sub-group, long-term survival rates were also increased after a radical pericardiectomy (P = 0.001). Eighty-five percent of patients after a radical pericardiectomy were in NYHA functional class I or II after 5 years and 94% up to 25 years versus 53% and 63%, respectively, for the sub-total pericardiectomy group. Conclusions: Radical pericardiectomy provided superior 10-year survival and clinical functional improvement in patients with chronic constrictive pericarditis compared to sub-total pericaridectomy.
(Less)
- author
- Nozohoor, Shahab LU ; Johansson, Maria ; Koul, Bansi LU and Cunha-Goncalves, Doris LU
- organization
- publishing date
- 2018-06-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cardiac function, cardiac reoperation, outcomes, pericardium
- in
- Journal of Cardiac Surgery
- volume
- 33
- issue
- 6
- pages
- 7 pages
- publisher
- Futura Publishing Company
- external identifiers
-
- scopus:85047638120
- pmid:29761570
- ISSN
- 0886-0440
- DOI
- 10.1111/jocs.13715
- language
- English
- LU publication?
- yes
- id
- 81709800-2875-427d-8421-310e1daa0c22
- date added to LUP
- 2018-06-11 13:34:51
- date last changed
- 2024-04-15 08:02:11
@article{81709800-2875-427d-8421-310e1daa0c22,
abstract = {{<p>Background: We studied the impact of radical pericardiectomy on early and long-term patient survival, postoperative New York Heart Association (NYHA) functional class, and left ventricular ejection fraction in patients with chronic constrictive pericarditis compared to a sub-total pericardiectomy. Methods: From 1991 to 2016, 41 patients underwent pericardiectomy for chronic constrictive pericarditis. Sub-total pericardiectomy was performed in 17 (41%) and radical pericardiectomy in 24 (59%) patients. Patients in the two study groups had statistically similar NYHA functional class, left ventricular ejection fraction, and cardiac catheterization data. Follow-up was 100% complete with a median time of 4 years. Results: Radical pericardiectomy resulted in increased survival rates at 10 years (94%) compared to sub-total pericardiectomy (55%) (P = 0.014). In the idiopathic chronic constrictive pericarditis sub-group, long-term survival rates were also increased after a radical pericardiectomy (P = 0.001). Eighty-five percent of patients after a radical pericardiectomy were in NYHA functional class I or II after 5 years and 94% up to 25 years versus 53% and 63%, respectively, for the sub-total pericardiectomy group. Conclusions: Radical pericardiectomy provided superior 10-year survival and clinical functional improvement in patients with chronic constrictive pericarditis compared to sub-total pericaridectomy.</p>}},
author = {{Nozohoor, Shahab and Johansson, Maria and Koul, Bansi and Cunha-Goncalves, Doris}},
issn = {{0886-0440}},
keywords = {{cardiac function; cardiac reoperation; outcomes; pericardium}},
language = {{eng}},
month = {{06}},
number = {{6}},
pages = {{301--307}},
publisher = {{Futura Publishing Company}},
series = {{Journal of Cardiac Surgery}},
title = {{Radical pericardiectomy for chronic constrictive pericarditis}},
url = {{http://dx.doi.org/10.1111/jocs.13715}},
doi = {{10.1111/jocs.13715}},
volume = {{33}},
year = {{2018}},
}