Long-term experience with pericardiectomy: analysis of 105 consecutive patients
| Autor: | Riza Dogan, Sarigül A, Bozer Ay, Sinan Arsan, Mercan S, Ilhan Pasaoglu, Metin Demircin, Atasoy S |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Pulmonary and Respiratory Medicine
Constrictive pericarditis Adult Male medicine.medical_specialty Time Factors Adolescent Turkey medicine.medical_treatment Malignancy Actuarial survival Pericardial Effusion law.invention law medicine Cardiopulmonary bypass Humans Pericardiectomy Child Aged Proportional Hazards Models Retrospective Studies business.industry Mortality rate Pericarditis Constrictive Middle Aged medicine.disease Survival Analysis Uremia Surgery Anterior pericardium Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0171-6425 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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