Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Pericardiectomy in Constrictive Pericarditis -23 Cases-

만성 교약성 심낭염의 외과적 치료

  • Published : 1995.02.01
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Abstract

From January, 1983, to August, 1993, 23 cases of pericardiectomy for chronic constrictive pericarditis were carried out. The 15 male and 8 female patients ranged in age from 7 to 68 years[mean 39.1 years . All patients underwent pericardiectomy through a median sternotomy. Postoperative complications were low cardiac output[2 patients , wound infection[2 patients , pneumonia[2 patients , and unilateral phrenic nerve palsy[2 patients . One patient died of low cardiac output 1 day after pericardiectomy due to the associated transposition of great artery and hypoplastic right lung. Clinical and pathological findings showed that the cause of constrictive pericarditis was tuberculous in 8 cases[34.8% , idiopathic in 12 cases[52.2% and pyogenic in 3 cases[13.0% . Central venous pressure fell below 10cmH2O by immediate in 6 cases, fell below 10cmH2O by 24hrs in 5 cases and continued above 10cmH2O after 24hrs in 12 cases. Preoperative NYHA functional class of patients showed class I-1, classII-4, class III-14, and class IV-3. Postoperativly NYHA functional class was improved to class I-15, classII-6, class III-1.

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References

  1. Guy's Hosp Rep cited Ref 1 & 2 v.7 Observations on the disease of the orfice and valves Chevers,N.
  2. J Thorac Cardiovasc Surg v.66 no.1 Pericardiectomy. Indications and results Das,P.;Sukumark,I..;Cherian,G.;Stanley,J.
  3. Curr proble Cardiol v.2 no.3 Pericardial heart disease Roberts,W.C.;Spray,T.L.
  4. J Thorac Surg v.62 Surgical treatment of pericarditis Wychulis,A.R.;Connolly,D.C.
  5. J Thorac Cardiovasc Surg v.74 Changing specstum of per-icardiectomy for choronic pericarditis, Occult constrictive pericarditis Kilman,J.W.;Bush,C.A.;Wooley,C.F;Stang.J,M.;Teply,J.;Baba,N.
  6. Thorax v.33 Tuberculous pericarditis in Birmingham Gooi,H.C.;Morrison Smith J.
  7. Am J Med v.59 Clinical microbiologic and therapeutic aspects of Purulent pericarditis Rubin,R.H.;Morellering,R.C.
  8. J Thorac Cardiovasc Surg v.63 Constrictive pericarditis following uremic effusion Wolfe,S.A.;Beilley,G.F.;Collins,J.J.
  9. Am J Cardiol v.43 no.3 Constrictive pericarditis. Early and late complication of cardiac surgery Cohen,M.V.;Greenberg,M.A.
  10. The Am J Med v.63 The changed spectrum of purulent pericarditis. An 86-year autopsy experience in 200 patients Klacsmann,P.G.;Bulkley,B.H.
  11. J Thorac Cardiovasc Surg v.64 Cardiac constriction following aorta-to-coronary bypass surgery Kendall,M.E.;Rhodes,G.R.;Wolfe,W.
  12. Am J Cardiol v.7 Chronic constrictive pericarditis Wood
  13. Am Heart J v.96 Pericardial constriction Hirschman,J.V.
  14. Circulation v.32 Hemodynamic studies following pericardiectomy for constructive pericarditis Kloster,F.E.;Crislip,R.L.;Bristow,J.D.;Herr,R.H.;Ritzman,L.W.;Criswold,H.E.
  15. Langenbecks Arch Chir v.336 Klinik,Theraie und Prognose der pericarditis constricriva Braun,L.;Michalke,H.J.;Sanatger,R.;Sasse,W.;Mengers,G.
  16. J Thorac Cardiovasc Surg v.58 Pericardiectomy in non-tuberculous pericarditis Mullen,D.C.;Dillton,M.L.;Young,W.G.;Sealy,W.C.
  17. J Thorac Cardiovasc Surg v.89 Early and late results of pericardiectomy for constrictive pericarditis McCaughan,B.B.C.;Schaff,H.V.;Piehelr,J.M.(et al.)
  18. Am J Cardiol v.26 Sequential left ventricular function studies before and after pericardiectomy for constrictive pericarditis. Delayed resolution of residual resolution of residual restriction Harrison,E.C.;Crawford,D.W.;Lau,F.Y.K.
  19. J Thorac Cardiovasc Surg v.82 Constrictive peicarditis as a cause of delayed of absent response to pericardiectomy Walsh,T.J.;Baughman,K.L.;Gardner,T.J.;Buckley,B.H.
  20. Circulation 72(Suppl) Surgical treatment of constrictive pericarditis analysis of outcome and diagnostic error Seifer,F.C.;Miller,D.C.;Oesterle,S.N.;Oyer,P.E.;Stinson,E.B.;Shumway,N.E.