Advanced

Radical pericardiectomy for chronic constrictive pericarditis

Nozohoor, Shahab LU ; Johansson, Maria; Koul, Bansi LU and Cunha-Goncalves, Doris LU (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)
Please use this url to cite or link to this publication:
author
organization
publishing date
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
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
2018-06-12 03:00:04
@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},
  keyword      = {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},
  volume       = {33},
  year         = {2018},
}