Surgical Treatment of Constrictive Pericarditis
| Autor: | Ismail El-Hamamsy, Burak Can Depboylu, Mustafa Cikirikcioglu, Parmeseeven Mootoosamy, Nicola Vistarini, Ariane Testuz |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Constrictive pericarditis
Cardiac Catheterization medicine.medical_specialty Pericardial constriction medicine.medical_treatment Review 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Cardiac magnetic resonance imaging Internal medicine medicine Humans Pericarditis Ventricular Function Pericardium Pericardiectomy Cardiac catheterization ddc:617 medicine.diagnostic_test business.industry Pericarditis Constrictive Restrictive cardiomyopathy Constrictive/diagnostic imaging/mortality/physiopathology/surgery Recovery of Function medicine.disease Symptomatic relief Pericardiectomy/adverse effects Treatment Outcome medicine.anatomical_structure 030228 respiratory system cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Texas Heart Institute Journal, Vol. 44, No 2 (2017) pp. 101-106 |
| ISSN: | 1526-6702 0730-2347 |
| Popis: | Constrictive pericarditis is the final stage of a chronic inflammatory process characterized by fibrous thickening and calcification of the pericardium that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. Transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging each can reveal severe diastolic dysfunction and increased pericardial thickness. Cardiac catheterization can help to confirm a diagnosis of diastolic dysfunction secondary to pericardial constriction, and to exclude restrictive cardiomyopathy. Early pericardiectomy with complete decortication (if technically feasible) provides good symptomatic relief and is the treatment of choice for constrictive pericarditis, before severe constriction and myocardial atrophy occur. We describe our surgical approach to constrictive pericarditis, summarize our results in 93 patients, and provide a brief overview of the literature. |
| Databáze: | OpenAIRE |
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