Surgical treatment of 128 cases of constrictive pericarditis.
- Author:
Shao-yi ZHENG
1
;
Ping ZHU
;
Jian ZHUANG
;
Ruo-bin WU
;
Ji-mei CHEN
;
Xue-jun XIAO
;
Cong LU
;
Rui-xin FAN
;
Jin-song HUANG
;
Ming-jie MAI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Child, Preschool; China; epidemiology; Chronic Disease; Female; Humans; Male; Middle Aged; Pericarditis, Constrictive; surgery; Postoperative Complications; epidemiology; Retrospective Studies; Treatment Outcome; Young Adult
- From: Journal of Southern Medical University 2010;30(3):535-537
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience with surgical treatment of constrictive pericarditis.
METHODSA retrospective analysis of the post-operative clinical data was conducted in 128 surgical patients with chronic constrictive pericarditis.
RESULTSTwo early postoperative death occurred in this group due to severe low cardiac output syndrome, with the mortality rate of 1.57%. The postoperative complications included low cardiac output syndrome (13.2%), arrhythmia (7.02%), acute renal insufficiency (3.9%), respiratory insufficiency (3.1%), wound infection (2.3%), postoperative chest bleeding (1.6%) and cerebral infarction (0.78%). Relapse occurred in one case because of incomplete pericardial resection.
CONCLUSIONSConstrictive pericarditis should be confirmed as soon as possible with actively surgery, and the extent of pericardial resection should be decided according to the individual conditions. Complete untethering of the diseased pericardium should be performed with active prevention of postoperative complications.