Key result
Complete pericardiectomy with CPB provides total constriction relief with minimal morbidity risk.
Why the study?
The study aimed to assess the effect of pericardiectomy for constrictive pericarditis performed with or without cardiopulmonary bypass.
Does pericardiectomy with cardiopulmonary bypass improve relief of constriction compared to without bypass in patients with constrictive pericarditis?
Does pericardiectomy with cardiopulmonary bypass improve relief of constriction compared to without bypass in patients with constrictive pericarditis?
Complete pericardiectomy using cardiopulmonary bypass is recommended for total relief of constriction in constrictive pericarditis.
Answers are grounded in this paper and cite their sources.
Supports complete pericardiectomy with bypass for constriction relief; leaves open randomized comparisons versus off-pump techniques.
Aim: We aim to access the effect of pericardiectomy for constrictive pericarditis with or without cardiopulmonary bypass. Methods: This was a review of pericardiectomy for constrictive pericarditis. Results: Cardiopulmonary bypass is actually an important maneuver to attain complete relief of the constriction. The short additional time of cardiopulmonary bypass during the procedure has very little effect on the risk of morbidity of the main operation. Conclusion: Incomplete pericardiectomy perhaps was the cause of postoperative remnant constriction and high diastolic filling pressure leading to multiorgan failure. Complete pericardiectomy (removal of phrenic-to-phrenic and the postero-lateral and inferior wall pericardial thickening) using cardiopulmonary bypass should be the routine for total relief of the constriction of the heart.
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Huang et al. (2024) conducted a review in Constrictive pericarditis. Pericardiectomy with cardiopulmonary bypass vs. Pericardiectomy without cardiopulmonary bypass was evaluated. Complete pericardiectomy using cardiopulmonary bypass provides total relief of heart constriction with very little effect on morbidity risk.
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